Look up the most recent NPI and PECOS records

Nicole Wai-Ga Lau

Emergency Medicine

Allopathic & Osteopathic Physicians

4445 Magnolia Ave, Riverside, CA 92501-4199

PECOS Enrollment

This provider is enrolled in PECOS as NICOLE LAU.

Based on the most recent information from CMS, provider Nicole Wai-Ga Lau is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1972062834
Provider Type
Individual
Full Name
Lau, Nicole Wai-Ga
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/19/2019
Last Updated
5/11/2022

Contact Information

Practice Location

4445 Magnolia Ave, Riverside, CA 92501-4199

(951) 788-3000

Unlisted Fax

Mailing Location

955 S Beach Dr, Sacramento, CA 95831-4352

(916) 716-4445

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A176400 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Nicole Wai-Ga Lau

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Dunn-Dixon, Roberta Jean

Johnson, Kenneth

Hu, Jeffrey

Ng, Daniel

Kong, Erwin

Hadyah, Sana

Kim, Mi Song

Costumbrado, John Christian Canet

An, Jason K

Chang, Brennan