Provider Demographics
NPI:1144511502
Name:LAI, WES L (DAOM, LAC)
Entity type:Individual
Prefix:DR
First Name:WES
Middle Name:L
Last Name:LAI
Suffix:
Gender:M
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 W VALLEY BLVD UNIT 3494
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-5620
Mailing Address - Country:US
Mailing Address - Phone:415-336-1859
Mailing Address - Fax:
Practice Address - Street 1:686 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-2024
Practice Address - Country:US
Practice Address - Phone:626-383-7888
Practice Address - Fax:626-303-5818
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 14105171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist