Active NPI
Jimmy Lau, DDS
- General Practice Dentistry
- Monterey Park, CA
National Provider Identifier
1043696677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 65128
- Practice address
- 914 E Garvey Ave
Monterey Park, CA 91755-3044 - Phone
- (888) 988-4066
- Fax
- (847) 496-4850
- NPI assigned
- Aug 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 65128 | CA | Primary |
Addresses
Primary practice location
914 E Garvey Ave
Monterey Park, CA 91755-3044
Mailing address
914 E Garvey Ave
Monterey Park, CA 91755-3044
Phone (626) 280-5280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65128 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1043696677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 E GARVEY AVE",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917553044",
"telephone_number": "626-280-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 E GARVEY AVE",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917553044",
"telephone_number": "888-988-4066",
"fax_number": "847-496-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "JIMMY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-05",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "65128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.