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NPI Code Detail

MEDICARE: DR. EDUARDO D. LAM M.D.

MEDICARE: DR. EDUARDO D. LAM M.D.
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
1207P00000XEmergency Medicine PhysicianA93915CA

General Provider Information

NPI Number : 1255410957
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDUARDO D. LAM M.D.
Provider Business Mailing Address
First Line : 13838 GOLDEN EAGLE CT
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-6000
Country : US
Telephone Number : 951-653-6055
Fax Number : 951-653-6055
Provider Business Practice Location Address
First Line : 200 HOSPITAL CIR
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-3910
Country : US
Telephone Number : 818-340-9988
Fax Number : 818-587-2493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 11/01/2021

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