Individual
ANTHONY PONGWAI LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2895 EDINGER AVE, TUSTIN, CA 92780-7257
(949) 381-5800
Mailing address
700 E BIRCH ST UNIT 11055, BREA, CA 92822-2154
(714) 475-0272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
254364
NY
207R00000X
Internal Medicine Physician
A112245
CA
207RX0202X
Medical Oncology Physician
A112245
CA
Other
Enumeration date
08/05/2009
Last updated
03/03/2015
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