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General NPI Number Information
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NPI Number | 1114775129
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Entity Type | Organization
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Legal Business Name | ENOCH NAM MD INC
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Dates
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Enumeration Date | 05/07/2024
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2700 YGNACIO VALLEY RD STE 150
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3455
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Country | US
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Telephone | 925-222-5476
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Fax | 909-558-2180
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Provider Business Mailing Address
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Address Line | 2700 YGNACIO VALLEY RD STE 150
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3455
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Country | US
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Telephone | 925-268-0338
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Fax | 925-268-0339
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Authorized Official
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Title or Position | OWNER
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Name | ENOCH H NAM
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Credential | MD
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Telephone | 925-222-5476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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