Provider Demographics
NPI:1477911881
Name:LAM, MEIYING (DPT)
Entity Type:Individual
Prefix:DR
First Name:MEIYING
Middle Name:
Last Name:LAM
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 SAN FELIPE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-1503
Mailing Address - Country:US
Mailing Address - Phone:408-238-1552
Mailing Address - Fax:408-238-1552
Practice Address - Street 1:4205 SAN FELIPE RD
Practice Address - Street 2:STE 100
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95135-1503
Practice Address - Country:US
Practice Address - Phone:408-238-1552
Practice Address - Fax:408-238-1552
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43484225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist