Provider Demographics
NPI:1902193519
Name:LAM, GIANG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GIANG
Middle Name:
Last Name:LAM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 FORTUNE DR
Mailing Address - Street 2:T-2128
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2946
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:115 FORTUNE DR
Practice Address - Street 2:T-2128
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2946
Practice Address - Country:US
Practice Address - Phone:949-885-0115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-03
Last Update Date:2011-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH56949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist