Provider Demographics
NPI:1467531327
Name:LAM, HON-WAI KELVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HON-WAI
Middle Name:KELVIN
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1560
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-0173
Mailing Address - Country:US
Mailing Address - Phone:818-390-1288
Mailing Address - Fax:
Practice Address - Street 1:501 S SHORE CTR W
Practice Address - Street 2:SUITE C
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5762
Practice Address - Country:US
Practice Address - Phone:510-769-1118
Practice Address - Fax:510-769-1119
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76128207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine