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General NPI Number Information
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NPI Number | 1912893256
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Entity Type | Individual
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Provider Name | CHING HORNG LAI NP
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Gender | Male
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1974 SANTA FE AVE
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City | LONG BEACH
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State | CA
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Zip | 90810-4064
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Country | US
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Telephone | 562-595-9799
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Fax |
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Provider Business Mailing Address
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Address Line | 5622 SUNMIST DR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-4938
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Country | US
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Telephone | 310-946-2616
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95035074
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License Number State | CA
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