Healthcare Provider Details

I. General information

NPI: 1043203847
Provider Name (Legal Business Name): MICHAEL D LAU D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 05/18/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21535 HAWTHORNE BLVD STE 270
TORRANCE CA
90503-6638
US

IV. Provider business mailing address

PO BOX 13692
TORRANCE CA
90503-0692
US

V. Phone/Fax

Practice location:
  • Phone: 424-201-0036
  • Fax:
Mailing address:
  • Phone: 310-328-1950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25157
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License NumberDC25157
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: