Provider Demographics
NPI:1437185295
Name:LAM, THOMAS S (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:S
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7589
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802-7589
Mailing Address - Country:US
Mailing Address - Phone:626-284-1997
Mailing Address - Fax:626-284-2549
Practice Address - Street 1:328 S 1ST ST
Practice Address - Street 2:SUITE E
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3789
Practice Address - Country:US
Practice Address - Phone:626-284-1997
Practice Address - Fax:626-284-2549
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA44280207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A442800Medicaid
CA00A442801Medicaid
CA00A442800Medicaid
CA00A442801Medicaid