Healthcare Provider Details

I. General information

NPI: 1275441768
Provider Name (Legal Business Name): ADVANCED ACUCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8925 WESTMINSTER AVE
GARDEN GROVE CA
92844-2609
US

IV. Provider business mailing address

13935 CAMP ROCK ST
EASTVALE CA
92880-3169
US

V. Phone/Fax

Practice location:
  • Phone: 714-264-9438
  • Fax: 714-264-9438
Mailing address:
  • Phone: 714-264-9438
  • Fax: 714-264-9438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KHANH MINH LAM
Title or Position: CEO
Credential: O.M.D., L.AC.
Phone: 714-264-9438