Healthcare Provider Details

I. General information

NPI: 1861870925
Provider Name (Legal Business Name): ANNA LAM O.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2015
Last Update Date: 12/27/2025
Certification Date: 12/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2850 N OXNARD BLVD
OXNARD CA
93036-5443
US

IV. Provider business mailing address

23131 W SARATOGA WAY
WEST HILLS CA
91307-1498
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-8580
  • Fax: 818-796-2526
Mailing address:
  • Phone: 818-671-8250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number15054TLG
License Number StateCA

VIII. Authorized Official

Name: DR. ANNA LAM
Title or Position: PRESIDENT
Credential: OD
Phone: 818-671-8250