Amg, a Professional Medical Corp
Organization Active NPI Pediatrics Physician · Pasadena, CA
NPI 1497790349 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1497790349
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- AMG, A PROFESSIONAL MEDICAL CORP
- Practice address
- 193 E Orange Grove Blvd
Pasadena, CA 91103-3487 - Phone
- (626) 282-0282
- Fax
- (626) 568-3419
- NPI assigned
- Jun 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas S. Lam, M.D.
- Title
- Director
- Phone
- (626) 282-0282
Corporate family (same tax ID) 2
Practitioners 7
-
Thomas S Lam, M.D.
-
Luong Trung DO, M.D.
-
Cindy Haslam, FNP-BC
-
James Lin, M.D
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0954477 | Amg a Professional Medical Corporation | Certificate of waiver | Nov 29, 2026 |
National Provider Directory
- Tax ID family
- Amg a Professional Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
193 E Orange Grove Blvd
Pasadena, CA 91103-3487
Mailing address
1668 S Garfield Ave FL 2
Alhambra, CA 91801-5400
Phone (626) 282-0282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0058984 | Medicaid | CA |
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- Cassandra Amezquita
- Cristal Amigon
- Priya Amin
- Payam Amini
- Ashlie-Chellsie Aminkeng
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All providers in Pasadena, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.