Provider Demographics
NPI:1851393862
Name:GARFIELD COMPREHENSIVE CARE MEDICAL CORP
Entity Type:Organization
Organization Name:GARFIELD COMPREHENSIVE CARE MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-289-7333
Mailing Address - Street 1:333 S GARFIELD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3800
Mailing Address - Country:US
Mailing Address - Phone:626-289-7333
Mailing Address - Fax:626-289-6599
Practice Address - Street 1:333 S GARFIELD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3800
Practice Address - Country:US
Practice Address - Phone:626-289-7333
Practice Address - Fax:626-289-6599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW13358Medicare ID - Type UnspecifiedMEDICARE GROUP PROVIDER #