Individual
LUANN TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 S CENTRAL AVE, GLENDALE, CA 91204-2508
(818) 502-1900
Mailing address
185 S MOUNTAIN TRL, SIERRA MADRE, CA 91024-2660
(626) 862-9788
(626) 355-0127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2367
CA
367A00000X
Advanced Practice Midwife
Primary
512
CA
Other
Enumeration date
12/08/2009
Last updated
12/06/2019
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