Individual
DIANA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1199 BUSH STREET, #560, SAN FRANCISCO, CA 94109
(415) 664-9183
(415) 929-8138
Mailing address
1199 BUSH STREET, #560, SAN FRANCISCO, CA 94109
(415) 664-9183
(415) 929-8138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G45411
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G45411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G454111
—
CA
Enumeration date
10/24/2006
Last updated
02/09/2010
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