Healthcare Provider Details

I. General information

NPI: 1265215362
Provider Name (Legal Business Name): PAISLEY TSZ YAN LAM LOK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1839 W VALLEY BLVD
ALHAMBRA CA
91803-2344
US

IV. Provider business mailing address

1839 W VALLEY BLVD
ALHAMBRA CA
91803-2344
US

V. Phone/Fax

Practice location:
  • Phone: 855-586-7336
  • Fax:
Mailing address:
  • Phone: 855-586-7336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95025605
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: