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NPI Code Detail

MEDICARE: DR. JAY LAI M.D.

MEDICARE: DR. JAY LAI M.D.
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
1207Q00000XFamily Medicine PhysicianA101700CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A101700OTHERCAMEDICAL STATE LIC

General Provider Information

NPI Number : 1558531384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY LAI M.D.
Provider Business Mailing Address
First Line : 1111 N NAGLE ST
Second Line :
City : ALTURAS
State : CA
Zip : 96101-3840
Country : US
Telephone Number : 530-798-8811
Fax Number :
Provider Business Practice Location Address
First Line : 1111 N NAGLE ST
Second Line :
City : ALTURAS
State : CA
Zip : 96101-3840
Country : US
Telephone Number : 530-798-8811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2008
Last Update Date : 01/12/2024

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