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General NPI Number Information
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NPI Number | 1124415617
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Entity Type | Organization
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Legal Business Name | MICHAEL LAU CHIROPRACTIC, INC
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 28382 S WESTERN AVE
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-1434
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Country | US
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Telephone | 310-328-1950
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13692
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City | TORRANCE
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State | CA
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Zip | 90503-0692
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Country | US
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Telephone | 310-328-1950
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL LAU
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Credential | D.C.
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Telephone | 310-328-1950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 134396
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 3371
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC10112
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC25157
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License Number State | CA
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