Individual
JONATHAN WEI LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 N SEPULVEDA BLVD, EL SEGUNDO, CA 90245-4475
(310) 640-9911
Mailing address
21003 AMIE AVE, 37, TORRANCE, CA 90503-4744
(424) 394-9728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
47911
CA
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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