Healthcare Provider Details

I. General information

NPI: 1710803291
Provider Name (Legal Business Name): TRILAM MARRIAGE AND FAMILY THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8605 SANTA MONICA BLVD
WEST HOLLYWOOD CA
90069-4109
US

IV. Provider business mailing address

2227 S ATLANTIC BLVD # 1616
MONTEREY PARK CA
91754-6803
US

V. Phone/Fax

Practice location:
  • Phone: 626-607-4017
  • Fax:
Mailing address:
  • Phone: 626-607-4017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. SUSAN HIEN NGUYEN LAM
Title or Position: LICENSED MARRIAGE AND FAMILY THERAP
Credential: LMFT
Phone: 626-607-4017