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General NPI Number Information
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NPI Number | 1679279541
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Entity Type | Organization
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Legal Business Name | DESERT BLOSSOM PSYCHIATRY (LAU) PLLC
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 3651 LINDELL RD STE D365
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City | LAS VEGAS
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State | NV
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Zip | 89103-1254
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Country | US
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Telephone | 242-092-8754
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Fax | 417-313-0749
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Provider Business Mailing Address
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Address Line | 9928 FLOWER ST STE 203
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City | BELLFLOWER
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State | CA
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Zip | 90706-0403
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Country | US
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Telephone | 424-209-2875
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Fax | 417-313-0749
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Authorized Official
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Title or Position | OWNER
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Name | KIMBLEY LAU
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Credential | DO
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Telephone | 424-209-2875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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