Lau, Jonathan B

Lau, Jonathan B is an sole proprietor health care provider with primary practice located at 716 W Broadway , Glendale CA 91204-1010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lau, Jonathan B can be contacted via phone (818) 550-0900.

Contact Information

Primary practice address
716 W Broadway Glendale CA 91204-1010
Fax: (505) 293-1524
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20A7545 California

Profile Details

NPI number 1144367111
LBN Legal business name Lau, Jonathan B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated May 7th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144367111 NPPES
California MEDICAID 00AX75450

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