Individual
DAVID WALTER TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1660 SAN PABLO AVE, STE 200, PINOLE, CA 94564-2077
(510) 964-7816
(510) 964-7831
Mailing address
1660 SAN PABLO AVE, STE 200, PINOLE, CA 94564-2077
(510) 964-7816
(510) 964-7831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT7588TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0075880
—
CA
Enumeration date
07/12/2006
Last updated
06/05/2015
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