Healthcare Provider Details

I. General information

NPI: 1851814453
Provider Name (Legal Business Name): CATHY LAM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8657 VIA LA JOLLA DRIVE
LA JOLLA CA
92037
US

IV. Provider business mailing address

2757 LANCHA ST
SAN DIEGO CA
92111-5621
US

V. Phone/Fax

Practice location:
  • Phone: 858-597-0108
  • Fax: 858-597-0406
Mailing address:
  • Phone: 858-597-0108
  • Fax: 858-597-0408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21433
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number76059
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: