MEDICARE: CLAUDIA LAM

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	363A00000X	Physician Assistant	63341	CA

General Provider Information

NPI Number	:	1538858725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA LAM

Provider Business Mailing Address
First Line	:	3811 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-1020
Country	:	US
Telephone Number	:	619-284-5622
Fax Number	:	619-566-4655

Provider Business Practice Location Address
First Line	:	3811 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92105-1020
Country	:	US
Telephone Number	:	619-284-5622
Fax Number	:

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

Provider Enumeration Date	:	05/03/2023
Last Update Date	:	10/31/2024

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Directions to “ CLAUDIA LAM ” Practice Location

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