Organization
ADVANCED PAIN CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH MINH LAM O.M.D., L.AC. (CEO, PRESIDENT)
(714) 952-1080
Entity
Organization
Contact information
Practice address
7151 LINCOLN AVE STE K, BUENA PARK, CA 90620-4615
(714) 952-1080
(714) 952-1660
Mailing address
7151 LINCOLN AVE STE K, BUENA PARK, CA 90620-4615
(714) 952-1080
(714) 952-1660
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC3621
CA
174400000X
Specialist
A84750
CA
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649594979
NPI
CA
Enumeration date
03/07/2007
Last updated
10/18/2016
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