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NPI Code Detail

MEDICARE: PENNY LAI

MEDICARE: PENNY LAI
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist50819CA
2183500000XPharmacist50819CA

General Provider Information

NPI Number : 1205250446
Entity Type Code : Individual
Provider Name (Legal Business Name) : PENNY LAI
Provider Business Mailing Address
First Line : 670 S WESTERN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-3024
Country : US
Telephone Number : 213-383-6207
Fax Number : 213-383-9703
Provider Business Practice Location Address
First Line : 670 S WESTERN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-3024
Country : US
Telephone Number : 213-383-6207
Fax Number : 213-383-9703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2014
Last Update Date : 05/19/2026

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Directions to “ PENNY LAI ” Practice Location

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