Organization
CHARLES TAM MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES T C TAM M.D. (PHYSICIAN)
(661) 328-9500
Entity
Organization
Contact information
Practice address
2520 L ST, BAKERSFIELD, CA 93301-2337
(661) 328-9500
(661) 328-0938
Mailing address
2520 L ST, BAKERSFIELD, CA 93301-2337
(661) 328-9500
(661) 328-0938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A19706
CA
207RI0011X
Interventional Cardiology Physician
A19706
CA
209800000X
Legal Medicine (M.D./D.O.) Physician
A19706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ48366Z
—
CA
Enumeration date
11/13/2007
Last updated
04/20/2008
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