Organization
HUNTINGTON RADIATION ONCOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M. LAM MD (PRESIDENT)
(626) 397-5149
Entity
Organization
Contact information
Practice address
625 S. FAIROAKS AVE, SUITE 100, PASADENA, CA 91105
(626) 397-5149
(626) 397-2147
Mailing address
P.O. BOX 67808, LOS ANGELES, CA 90067
(310) 273-7365
(310) 273-7366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A42358
CA
2085R0001X
Radiation Oncology Physician
Primary
A42358
CA
Other
Enumeration date
10/26/2006
Last updated
07/28/2010
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