Glen Kee Lau, MD Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G28241 Issued in CA

Legal business name

GLEN KEE LAU, MD INC

Practice address

80 Grand Ave
Ste. 810
Oakland, CA 94612-3725

Phone

(510) 451-6950

Fax

(510) 451-0785

NPI assigned

Feb 7, 2007

Last updated

Oct 17, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glen K Lau, M.D.NPI 1073653150

Title

Owner

Phone

(510) 451-6950

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glen K. Lau, M.D.

  • Plastic Surgery Physician
  • Oakland, CA
  • NPI 1073653150
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1265572440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE",
            "address_2": "STE, 800",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123725",
            "telephone_number": "510-451-6950",
            "fax_number": "510-451-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE",
            "address_2": "STE. 810",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123725",
            "telephone_number": "510-451-6950",
            "fax_number": "510-451-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN KEE LAU, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-451-6950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G28241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Louise Glasscock, PA
• Kelly Erin Glazer Baldwin, LCSW
• Howard Bruce Glazer, M.D.
• Diana Gleghorn, LMFT
• Elizabeth Ellen Gleghorn, M.D.
• GLJ Medical Services, Inc
• Amy B Glodde, RD
• Jake Glodowski
• Jolan W Glover
• Katherine Glusac

• Plastic Surgery Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.