Provider Demographics
NPI:1205843778
Name:LAM, CHI Y (MD)
Entity Type:Individual
Prefix:DR
First Name:CHI
Middle Name:Y
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 N GARFIELD AVE
Mailing Address - Street 2:#206
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754
Mailing Address - Country:US
Mailing Address - Phone:626-571-4013
Mailing Address - Fax:626-239-3330
Practice Address - Street 1:223 N GARFIELD AVE
Practice Address - Street 2:#206
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754
Practice Address - Country:US
Practice Address - Phone:626-571-4013
Practice Address - Fax:626-239-3330
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39312207RP1001X, 207R00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A393120Medicaid
CA00A393120Medicaid
CAA39312Medicare ID - Type Unspecified