Basic Information
Provider Information
NPI: 1396221438
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAU
FirstName: LAWRENCE
MiddleName: KAI YIU
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 15090
Address2:  
City: ANAHEIM
State: CA
PostalCode: 928035090
CountryCode: US
TelephoneNumber: 7145772124
FaxNumber: 7145772125
Practice Location
Address1: 1211 W LA PALMA AVE STE 404
Address2:  
City: ANAHEIM
State: CA
PostalCode: 928012806
CountryCode: US
TelephoneNumber: 7147728282
FaxNumber: 7147726493
Other Information
ProviderEnumerationDate: 07/12/2018
LastUpdateDate: 03/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208M00000X20A17369CAY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X20A17369CAN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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