Provider Demographics
NPI:1578982971
Name:LAM, JAMES T (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:T
Last Name:LAM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:600 N GARFIELD AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1167
Mailing Address - Country:US
Mailing Address - Phone:626-571-6736
Mailing Address - Fax:626-571-7078
Practice Address - Street 1:600 N GARFIELD AVE STE 101
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1167
Practice Address - Country:US
Practice Address - Phone:626-571-6736
Practice Address - Fax:626-571-7078
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A17474207Q00000X
NM390200000X
NMAB7003469-B1708390200000X
MO2017038287207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program