Healthcare Provider Details

I. General information

NPI: 1346199916
Provider Name (Legal Business Name): SARAH LAU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S FAIR OAKS AVE STE 203
PASADENA CA
91105-2536
US

IV. Provider business mailing address

9126 VALLEY BLVD STE B
ROSEMEAD CA
91770-1987
US

V. Phone/Fax

Practice location:
  • Phone: 626-356-4000
  • Fax: 626-799-4001
Mailing address:
  • Phone: 626-573-9003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95036755
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: