| Alexander Lam, MD | |
|
350 Vinton Ave Ste 202, Pomona, CA 91767-3000 | |
| (909) 973-1148 | |
| (909) 363-4954 |
| Full Name | Alexander Lam |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 6 Years |
| Location | 350 Vinton Ave Ste 202, Pomona, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205497104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | MT218054 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pomona Valley Hospital Medical Center | Pomona, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jerry Kim Md Inc | 4082094479 | 2 |
| Entity Name | Jerry Kim Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093452278 PECOS PAC ID: 4082094479 Enrollment ID: O20220701000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Lam, MD 5501 Old York Rd, Philadelphia, PA 19141-3018 Ph: () - | Alexander Lam, MD 350 Vinton Ave Ste 202, Pomona, CA 91767-3000 Ph: (909) 973-1148 |
Kirill Lipa, PA-C Surgery Medicare: Not Enrolled in Medicare Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-865-9500 | |
Alexandra Gutierrez, PA Surgery Medicare: Not Enrolled in Medicare Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-865-9500 | |
Autar Kristen Wali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 155 W Willow St, Pomona, CA 91768 Phone: 909-865-2626 Fax: 909-865-2010 | |
Marian Safaoui, MD Surgery Medicare: Medicare Enrolled Practice Location: 309 East Second Street, Pomona, CA 91766 Phone: 909-706-3934 Fax: 909-469-5698 | |
Andrew H. Ahn, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1900 Royalty Dr, Ste 205, Pomona, CA 91767 Phone: 714-530-0303 Fax: 714-530-7703 | |
Dr. Ayyampalayam Raju Mohan, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1818 N Orange Grove Ave, Suite 308, Pomona, CA 91767 Phone: 909-622-6050 Fax: 909-620-4632 |