WAN FONG LAU (NPI# 1356761266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356761266 |
| Entity Type | Individual |
| Full Name | WAN FONG LAU |
| Credential | FNP |
| Practice Address |
633 N Central Ave #105 Glendale CA 91203-1801 |
| Mailing Address |
787 E Lilac Way Azusa CA 91702-1475 |
| Practice Telephone | 8186626950 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22426 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
633 N CENTRAL AVE #105 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249539 | Michael Tahery | Specialist | 633 N Central Ave, Suite 309, Glendale, CA 91203-1801 | 2005-07-19 |
| 1881008605 | Clarisse Atakhanian Dds Inc | Dentist | 633 N Central Ave, 205, Glendale, CA 91203-1801 | 2014-06-19 |
| 1598181760 | James Richard Trinity | Dentist | 633 N Central Ave, Ste208, Glendale, CA 91203-1801 | 2014-03-12 |
| 1346417276 | Thomas T. Su | Dermatology | 633 N Central Ave, Suite 305, Glendale, CA 91203-1801 | 2008-05-09 |
| 1366610008 | Matt Michaels, M.s. | Audiologist | 633 N Central Ave, Suite 201, Glendale, CA 91203-1801 | 2008-02-15 |
| 1992986012 | Armineh Abedian | Pharmacy Technician | 633 N Central Ave, Rileys Pharmacy #100, Glendale, CA 91203 | 2007-11-16 |
| 1154528081 | James R. Trinity, Dds | Dentist | 633 N Central Ave, Suite 208, Glendale, CA 91203-1801 | 2007-07-03 |
| 1265651046 | Thomas Michael Higgins | Audiologist | 633 N Central Ave, Suite 106, Glendale, CA 91203-1809 | 2007-04-24 |
| 1801917547 | Carissa Bennett, Aud, Inc | Audiologist | 633 N Central Ave, Suite #201, Glendale, CA 91203-1801 | 2007-04-02 |
| 1336279710 | Mark Mendez De Leon | Dentist | 633 N Central Ave, Suite 203, Glendale, CA 91203 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115044 | Family & Friends Home Health Care Inc | Home Health | 417 W Arden St Suite 106a, Glendale, CA 91203 | 2019-03-27 |
| 1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
| 1609381730 | Envoy Hospice Care Inc | Hospice Care, Community Based | 5002 N Central Ave Ste 510, Glendale, CA 91203 | 2017-12-12 |
| 1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
| 1588190664 | Vanessa Guzman | Physician Assistant | 600 N. Central Ave, 322, Glendale, CA 91203 | 2017-05-10 |
| 1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
| 1477090934 | Blue Med-ride Medical Transportation | Non-emergency Medical Transport (VAN) | 121 W Lexington Dr # L200, Glendale, CA 91203 | 2017-01-23 |
| 1427593557 | Ofelia Oundjian | Counselor | 237 N Central Ave., Glendale, CA 91203 | 2016-12-28 |
| 1316396823 | Shaunak Jaiprakash Intwala | Pharmacist | 330 N Brand Blvd Ste 155, Glendale, CA 91203 | 2016-06-06 |
| 1295117315 | Luis Ernesto Garcia Artiga | Licensed Vocational Nurse | 500 N Central Ave Suite 250, Glendale, CA 91203 | 2015-06-25 |
| Find all providers in zip 91203 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199481 | Steven Cleo Northern Jr. | Nurse Practitioner | 5820 W Greenway Rd Ste 124, Glendale, AZ 85306-3308 | 2020-09-17 |
| 1609493279 | Traci Marie Miramontes | Nurse Practitioner | 6001 W Northview Ave, Glendale, AZ 85301-1857 | 2020-06-30 |
| 1669097697 | Swazi Cromwell | Nurse Practitioner | 13408 N 53rd Ave, Glendale, AZ 85304-1378 | 2020-06-16 |
| 1922620590 | Bethany E Mainville | Nurse Practitioner | 8151 W Sierra Vista Dr, Glendale, AZ 85303-3217 | 2020-05-17 |
| 1184252678 | Revive Wellness and Rejuvenation LLC | Nurse Practitioner | 20229 N 67th Ave Ste C-a, Glendale, AZ 85308-6664 | 2020-03-30 |
| 1083247316 | Anna Lazzaro | Nurse Practitioner | 4760 W Ponderosa Ln, Glendale, AZ 85308-4872 | 2020-02-14 |
| 1760021422 | Judy Fong | Nurse Practitioner | 5220 W Dahlia Dr, Glendale, AZ 85304-1931 | 2019-12-29 |
| 1588207138 | Kristen Mitchell | Nurse Practitioner | 6922 W Kristal Way, Glendale, AZ 85308-5772 | 2019-10-25 |
| 1760038335 | Adrineh Kalantar Ohanian | Nurse Practitioner | 1139 E Lexington Dr, Glendale, CA 91206-3861 | 2019-08-09 |
| 1457904252 | Debra Goldman | Nurse Practitioner | 20325 N 51st Ave # 8, Glendale, AZ 85308-5674 | 2019-07-20 |
| Find all providers in GLENDALE | ||||
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| 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.