MEDICARE: DR. ANGELA PANG LAM PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH51089	CA

General Provider Information

NPI Number	:	1093895823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA PANG LAM PHARM.D.

Provider Business Mailing Address
First Line	:	6156 TEMPLE CITY BLVD
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-1747
Country	:	US
Telephone Number	:	323-783-7261
Fax Number	:	323-783-5546

Provider Business Practice Location Address
First Line	:	4950 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5822
Country	:	US
Telephone Number	:	323-783-7261
Fax Number	:	323-783-5546

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/08/2007

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