Khiem D Lai MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A86360 Issued in CA

Legal business name

KHIEM D LAI MD INC

Practice address

12502 Brookhurst Street
Garden Grove, CA 92840-4807

Phone

(714) 590-1949

Fax

(714) 636-3394

NPI assigned

Sep 25, 2008

Last updated

Jan 30, 2009By 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. Khiem Dinh Lai, MD

Title

President/Medical Director

Phone

(714) 590-1949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1265682306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 BROOKHURST STREET",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404807",
            "telephone_number": "714-590-1949",
            "fax_number": "714-636-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 BROOKHURST STREET",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404807",
            "telephone_number": "714-590-1949",
            "fax_number": "714-636-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHIEM D LAI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "KHIEM",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-590-1949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A86360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adion F Khalil
• Sereen Khalil
• Farzana Khan
• Rayhan Khan
• Khanh Bao Nguyen MD Inc
• Khiem PV Nguyen MD Cardiology Associates Medical Group Inc
• Khoi Dinh Nguyen Medical Office Inc
• Khoi Quang Tang, M.D., Inc.
• Tasneem Khraisat
• Diem Phuong Khuu, PHARM.D

• Family Medicine Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.