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Individual

GIA THANH LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5TH & WESTERN ST, CALIFORNIA REHABILITATION CENTER CRC, NORCO, CA 92860-0991
(951) 737-2683
(951) 273-2318
Mailing address
PO BOX 1841, CALIFORNIA REHABILITATION CENTER CRC, NORCO, CA 92860-0991
(951) 737-2683
(951) 273-2318

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A39556
CA

Other

Enumeration date
09/28/2007
Last updated
09/28/2007
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