Organization
JONATHAN TAM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PATRICIA LAM (OM)
(626) 449-3263
Entity
Organization
Contact information
Practice address
105 N HILL AVE STE 203, PASADENA, CA 91106-1934
(626) 449-3263
(626) 795-5145
Mailing address
105 N HILL AVE #203, PASADENA, CA 91106-3487
(626) 449-3263
(626) 795-5145
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G66009
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G660091
—
CA
05
—
00G660094
—
CA
Enumeration date
09/24/2009
Last updated
09/24/2013
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