Healthcare Provider Details

I. General information

NPI: 1841828647
Provider Name (Legal Business Name): DAVID DU LAM MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2020
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39000 BOB HOPE DR STE P202
RANCHO MIRAGE CA
92270-7018
US

IV. Provider business mailing address

39000 BOB HOPE DR STE P202
RANCHO MIRAGE CA
92270-7018
US

V. Phone/Fax

Practice location:
  • Phone: 760-276-3716
  • Fax:
Mailing address:
  • Phone: 760-276-3716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA201912
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: