Raymond Tiu Lao
Pharmacist in San Diego, CA. Individual provider (NPI-1).
NPI number1639852247
StatusActive
Last updated in NPPESAug 9, 2023
Details
- NPI
- 1639852247
- Entity type
- Individual (NPI-1)
- Name
- Raymond Tiu Lao
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2023
- Certification date
- Aug 9, 2023
- Last updated
- Aug 9, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 86562 | CA | Yes |
Practice location
10776 Westview PkwySan Diego, CA 92126-2962
Phone 858-566-4551
Mailing address
8070 Calico StSan Diego, CA 92126-3108
Phone 858-265-7185
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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