Individual
JIMMY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 N LA CIENEGA BLVD STE 202, BEVERLY HILLS, CA 90211-2285
(310) 385-3300
Mailing address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-4918
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
291933
MA
207N00000X
Dermatology Physician
Primary
A191252
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2018
Last updated
12/12/2023
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