Pean Lai | Rancho Cucamonga, CA • PECOS Search

Pean Lai

Psychologist

Behavioral Health & Social Service Providers

10722 Arrow Rte, Suite 510, Rancho Cucamonga, CA 91730-4808

PECOS Enrollment

Based on the most recent information from CMS, provider Pean Lai does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1407037575
Provider Type
Individual
Full Name
Lai, Pean
Title
Dr.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/17/2007
Last Updated
11/17/2007

Contact Information

Practice Location

10722 Arrow Rte, Suite 510, Rancho Cucamonga, CA 91730-4808

Unlisted Fax

Mailing Location

10722 Arrow Rte, Suite 510, Rancho Cucamonga, CA 91730-4808

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103T00000X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY 17394 California