JENNA Y LAU


Address: 2630 1st Ave, San Diego, CA 92103-6599
Phone: 6192342158

JENNA Y LAU (NPI# 1235470519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235470519
Entity Type Individual
Full Name JENNA Y LAU
Practice Address 2630 1st Ave
San Diego
CA 92103-6599
Mailing Address 8882 Promenade North Pl
San Diego
CA 92123-6456
Practice Telephone 6192342158
Mailing Telephone 6262587027
Enumeration Date 2013-03-11
Last Update Date 2016-02-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
63747 CA Dental Providers

Office Location

Street Address 2630 1ST AVE
City SAN DIEGO
State CA
Zip Code 92103-6599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679572911 Richard Tew General Practice 2630 1st Ave, San Diego, CA 92103-6599 2005-07-19
1215543426 Katherine Anne Perry Nurse Practitioner 2630 1st Ave, San Diego, CA 92103-6599 2020-09-22
1396358024 Stephanie Joyce Reed Nurse Practitioner 2630 1st Ave, San Diego, CA 92103-6599 2020-08-24
1912439050 San Diego American Indian Health Center Preferred Provider Organization 2630 1st Ave, San Diego, CA 92103-6599 2017-03-29
1790151660 Michelle Epstein Dentist 2630 1st Ave, San Diego, CA 92103-6599 2015-08-14
1740534239 Porta Verum Social Worker 2630 1st Ave, Suite 205, San Diego, CA 92103-6599 2012-11-05
1710239223 Young Sun Suh Family Medicine 2630 1st Ave, San Diego, CA 92103-6599 2012-10-08
1437400207 Jodi Staszak Marriage & Family Therapist 2630 1st Ave, Suite 205, San Diego, CA 92103-6599 2012-09-20
1801024393 Shaun Michael Austin Family Medicine 2630 1st Ave, San Diego, CA 92103-6599 2009-06-23
1548418619 Chelsea Richardson Dentist 2630 1st Ave, San Diego, CA 92103-6599 2008-09-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407455181 Julia Nguyen Dentist 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 2020-10-22
1831797489 Lily Neskin Dentist 4454 Shorepointe Way, San Diego, CA 92130-8635 2020-10-15
1487251294 Zeki Abdulaali Dentist 1501 India St Unit 607, San Diego, CA 92101-2449 2020-10-05
1629681895 Elizabeth Rodriguez Dentist 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 2020-08-27
1679183602 Hayat Fahliogullari-smith Dentist 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 2020-08-04
1235768631 Virgnia Padua Mattson D.m.d. Dentist 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 2020-04-07
1154956050 Enbara Corporation Dentist 5189 Clairmont Mesa Blvd, San Diego, CA 92117 2020-03-11
1215568043 Hage Dental Corporation Dentist 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 2020-01-30
1275174310 Yige Zhao Dental Corporation Dentist 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 2019-09-30
1083255111 Wayne David Gonzales Dentist 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 2019-09-30
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Competitor

Search similar providers

City SAN DIEGO
Zip Code 92103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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