Khiem Dinh Lai, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A86360 Issued in CA

Practice address

12502 Brookhurst St
Garden Grove, CA 92840-4807

Phone

(714) 537-0547

NPI assigned

Jun 23, 2005

Last updated

Jan 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Multi Specialty Medical Group, Inc.

  • Ph.D. Medical Genetics
  • Glendale, CA
  • NPI 1538100094
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1538165576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 OAKFIELD AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927031636",
            "telephone_number": "714-721-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404807",
            "telephone_number": "714-537-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "KHIEM",
        "middle_name": "DINH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A86360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A863600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laboratory Associates Business Service, Inc.
• Jasmine Carmela Labrador
• Juliana Resuello Labrador, MSN-FNP
• Lai Tran Pratska Duong Med Corp
• Khang Lai, KHANG
• Michael Lai
• Troy Lai
• Laila Namoury, M.D., Inc.
• Jon P Lake, MD
• Nicolette Lake

• 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 22, 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.