Provider Demographics
NPI:1730054347
Name:LAM, TSEUK YAN ZENNIE (CPO)
Entity type:Individual
Prefix:
First Name:TSEUK YAN ZENNIE
Middle Name:
Last Name:LAM
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15602 MOSHER AVE
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-6427
Mailing Address - Country:US
Mailing Address - Phone:714-443-0709
Mailing Address - Fax:
Practice Address - Street 1:23172 PLAZA POINTE DR STE 140
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1477
Practice Address - Country:US
Practice Address - Phone:714-443-0709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPO04659222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist