Provider Demographics
NPI:1053827097
Name:LAM NURSING HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:LAM NURSING HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-456-9224
Mailing Address - Street 1:14455 PARK AVE STE E
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-2926
Mailing Address - Country:US
Mailing Address - Phone:442-327-9060
Mailing Address - Fax:442-327-9011
Practice Address - Street 1:14455 PARK AVE STE E
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-2926
Practice Address - Country:US
Practice Address - Phone:442-327-9060
Practice Address - Fax:442-327-9011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-27
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health