Provider Demographics
NPI:1144231143
Name:LAM, MAURICE MAN-HO (MD)
Entity Type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:MAN-HO
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2865 ATLANTIC AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-7414
Mailing Address - Country:US
Mailing Address - Phone:562-595-0591
Mailing Address - Fax:562-595-6836
Practice Address - Street 1:2865 ATLANTIC AVE STE 106
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-7414
Practice Address - Country:US
Practice Address - Phone:562-595-0591
Practice Address - Fax:562-595-6836
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG33473207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology