MEDICARE: MING HEI LAI RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH00054708	WA
2	183500000X	Pharmacist	RPH63865	CA

General Provider Information

NPI Number	:	1053442897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MING HEI LAI RPH

Provider Business Mailing Address
First Line	:	3550 S LA BREA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-5219
Country	:	US
Telephone Number	:	323-293-9397
Fax Number	:	323-293-2832

Provider Business Practice Location Address
First Line	:	3550 S LA BREA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90016-5219
Country	:	US
Telephone Number	:	323-293-9397
Fax Number	:	323-293-2832

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/01/2014

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Directions to “ MING HEI LAI RPH” Practice Location

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