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General NPI Number Information
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NPI Number | 1730560889
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Entity Type | Individual
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Provider Name | JULIE LAM O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 425 W BONITA AVE STE 110B
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City | SAN DIMAS
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State | CA
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Zip | 91773-2543
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Country | US
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Telephone | 909-394-0462
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Fax |
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Provider Business Mailing Address
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Address Line | 1872 ORIZABA AVE
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City | SIGNAL HILL
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State | CA
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Zip | 90755-1201
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Country | US
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Telephone | 714-726-5700
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 15221
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License Number State | CA
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