Healthcare Provider Details

I. General information

NPI: 1760534903
Provider Name (Legal Business Name): MICHAEL K. LAI, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 E CYPRESS ST STE C2
SANTA MARIA CA
93454-4734
US

IV. Provider business mailing address

1300 E CYPRESS ST STE C2
SANTA MARIA CA
93454-4734
US

V. Phone/Fax

Practice location:
  • Phone: 805-349-8972
  • Fax:
Mailing address:
  • Phone: 805-349-8972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG37376
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA LAI
Title or Position: PRACTICE MANAGER
Credential:
Phone: 805-451-8352