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NPI Code Detail

MEDICARE: EZRAE H LAM

MEDICARE:   EZRAE H LAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
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General Provider Information

NPI Number : 1124972823
Entity Type Code : Individual
Provider Name (Legal Business Name) : EZRAE H LAM
Provider Business Mailing Address
First Line : 26921 LA ALAMEDA APT 3322
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-7375
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 26921 LA ALAMEDA APT 3322
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-7375
Country : US
Telephone Number : 951-532-5347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2026
Last Update Date : 02/21/2026

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Directions to “ EZRAE H LAM ” Practice Location

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