Healthcare Provider Details

I. General information

NPI: 1376482166
Provider Name (Legal Business Name): ALENE CHUAN LAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1400 E CHURCH ST
SANTA MARIA CA
93454-5906
US

IV. Provider business mailing address

630 VERA AVE
REDWOOD CITY CA
94061-1709
US

V. Phone/Fax

Practice location:
  • Phone: 805-354-7101
  • Fax:
Mailing address:
  • Phone: 530-304-0740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: