Lao, Irene O
Lao, Irene O is an sole proprietor health care provider with primary practice located at 931 Buena Vista St Suite 201, Duarte CA 91010-1712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Lao, Irene O can be contacted via phone (626) 303-4626.Contact Information
Primary practice address
931 Buena Vista St Suite 201
Duarte CA 91010-1712
Phone: (626) 303-4626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A41174 | California |
Profile Details
| NPI number | 1235113457 |
|---|---|
| LBN Legal business name | Lao, Irene O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2005 |
| Last updated | May 5th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235113457 | NPPES |
| California | MEDICAID | 00A411740 |
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