Organization
DAVID W. TAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W. TAM O.D. (OWNER)
(510) 233-2875
Entity
Organization
Contact information
Practice address
13741 SAN PABLO AVE, SAN PABLO, CA 94806-3701
(510) 233-2875
(510) 233-2875
Mailing address
13741 SAN PABLO AVE, SAN PABLO, CA 94806-3701
(510) 233-2875
(510) 233-2875
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT7588TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ24254Z
—
CA
Enumeration date
01/25/2008
Last updated
12/03/2010
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