Provider Demographics
NPI:1437577756
Name:LAM, KAI YEE (RPH)
Entity Type:Individual
Prefix:
First Name:KAI YEE
Middle Name:
Last Name:LAM
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:MICAEL
Other - Middle Name:
Other - Last Name:LAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95015-0352
Mailing Address - Country:US
Mailing Address - Phone:408-656-5707
Mailing Address - Fax:
Practice Address - Street 1:915 ANDOVER WAY
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-7007
Practice Address - Country:US
Practice Address - Phone:408-656-5707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA30859OtherPHARMACIST LICENCE NUMBER