{
"Npi": {
"NPI": "1861870925",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ANNA LAM O.D. INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "23131 W SARATOGA WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST HILLS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91307-1498",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-671-8250",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2850 N OXNARD BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OXNARD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93036-5443",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-981-8580",
"PracticeLocationAddressFaxNumber": "818-796-2526",
"EnumerationDate": "05/09/2015",
"LastUpdateDate": "12/27/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LAM",
"AuthorizedOfficialFirstName": "ANNA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "OD",
"AuthorizedOfficialTelephoneNumber": "818-671-8250",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": "15054TLG",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}