Healthcare Provider Details

I. General information

NPI: 1124821988
Provider Name (Legal Business Name): KIMBERLY MAY LAU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PASTEUR DR
PALO ALTO CA
94304-1048
US

IV. Provider business mailing address

1430 VILLA DR
LOS ALTOS CA
94024-5337
US

V. Phone/Fax

Practice location:
  • Phone: 415-290-1588
  • Fax:
Mailing address:
  • Phone: 415-290-1588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number76711
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: