Provider Demographics
NPI:1255319893
Name:LAM, CHING (MD)
Entity Type:Individual
Prefix:DR
First Name:CHING
Middle Name:
Last Name:LAM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:13652 CANTARA ST
Mailing Address - Street 2:OCCUPATIONAL MEDICINE
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-5423
Mailing Address - Country:US
Mailing Address - Phone:818-375-2233
Mailing Address - Fax:818-375-2535
Practice Address - Street 1:13652 CANTARA ST
Practice Address - Street 2:OCCUPATIONAL MEDICINE
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-5423
Practice Address - Country:US
Practice Address - Phone:818-375-2233
Practice Address - Fax:818-375-2535
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2021-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2266072081P0004X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P0004XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I15564Medicare UPIN