Healthcare Provider Details

I. General information

NPI: 1013850171
Provider Name (Legal Business Name): FIONNA LAM PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 WEST LAVETA AVENUE
ORANGE CA
92868
US

IV. Provider business mailing address

1201 WEST LAVETA AVENUE
ORANGE CA
92868
US

V. Phone/Fax

Practice location:
  • Phone: 714-997-3000
  • Fax:
Mailing address:
  • Phone: 714-997-3000
  • Fax: 174-509-8386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number54020
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: