Provider Demographics
NPI:1821464231
Name:LAM, LINDA HANG KIM (RN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:HANG KIM
Last Name:LAM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9649 W OLYMPIC BLVD APT 4
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3746
Mailing Address - Country:US
Mailing Address - Phone:310-993-2284
Mailing Address - Fax:
Practice Address - Street 1:9649 W OLYMPIC BLVD APT 4
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3746
Practice Address - Country:US
Practice Address - Phone:310-993-2284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA664918163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care