Lai, Danita
Lai, Danita is an individual health care provider with primary practice located at 28222 Agoura Rd Ste 400 , Agoura Hills CA 91301-2411. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is her primary health care specialty. Lai, Danita can be contacted via phone (818) 597-0070.Contact Information
Primary practice address
28222 Agoura Rd Ste 400
Agoura Hills CA 91301-2411
Phone: (818) 597-0070
Fax: (818) 597-0278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8019TLG | California |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 8019 TPL | California |
Profile Details
| NPI number | 1497721427 |
|---|---|
| LBN Legal business name | Lai, Danita |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jan 3rd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497721427 | NPPES |
| California | Other | 0380900002 | PTAN# |
| California | MEDICAID | SD0080190 | PTAN# |
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