# FRANK M. TAN MD & JULIA K. LAM MD, A MEDICAL CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164614699
- **Authorized official:** DR. FRANK MARDEN TAN M.D. (DIRECTOR)
- **Authorized official phone:** (310) 826-3180

## Contact information

- **Practice address:** 1823 SAWTELLE BLVD, SUITE 1, LOS ANGELES, CA 90025-5532
- **Practice address phone:** (310) 826-3180
- **Practice address fax:** (310) 454-6422
- **Mailing address:** 1823 SAWTELLE BLVD, SUITE 1, LOS ANGELES, CA 90025-5532
- **Mailing address phone:** (310) 826-3180
- **Mailing address fax:** (310) 454-6422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0802X | Addiction Psychiatry Physician | G31393 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | G31393 | CA | Yes |

## Other

- **Enumeration date:** 08/17/2007
- **Last updated:** 08/17/2007