| Jim W Lam Md Prof Corp | |
|
27068 La Paz Rd #454 Aliso Viejo CA 92656-3041 | |
| (949) 581-2505 | |
| (949) 581-3135 |
| Full Name | Jim W Lam Md Prof Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 27068 La Paz Rd, Aliso Viejo, California |
| Authorized Official Name and Position | Jim W Lam (PRESIDENT) |
| Authorized Official Contact | 9495812505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim W Lam Md Prof Corp 27068 La Paz Rd #454 Aliso Viejo CA 92656-3041 Ph: (949) 581-2505 | Jim W Lam Md Prof Corp 27068 La Paz Rd #454 Aliso Viejo CA 92656-3041 Ph: (949) 581-2505 |
| NPI Number | 1295841294 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295841294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G51171 (California) | Primary |
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