Provider Demographics
NPI:1659342962
Name:TAM, DAVID AKIRA (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:AKIRA
Last Name:TAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15615 POMERADO RD
Mailing Address - Street 2:PALOMAR POMERADO HEALTH
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2405
Mailing Address - Country:US
Mailing Address - Phone:858-613-4195
Mailing Address - Fax:858-613-4764
Practice Address - Street 1:15615 POMERADO RD
Practice Address - Street 2:PALOMAR POMERADO HEALTH
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2405
Practice Address - Country:US
Practice Address - Phone:858-613-4195
Practice Address - Fax:858-613-4764
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2009-02-27
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Provider Licenses
StateLicense IDTaxonomies
CAA465272084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology