Organization Active NPI

Michael C. Lam M.D. Inc

  • Internal Medicine Physician
  • Lake Elsinore, CA
National Provider Identifier
1669883237
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A62691 Issued in CA
Legal business name
MICHAEL C. LAM M.D. INC
Practice address
31571 Canyon Estates Dr
#228
Lake Elsinore, CA 92532-0468
Phone
(951) 471-0200
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael C. Lam, M.D.
Title
President
Phone
(951) 471-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A62691 CA Primary

Addresses

Primary practice location

31571 Canyon Estates Dr
#228
Lake Elsinore, CA 92532-0468

Mailing address

1 League # 61284
Irvine, CA 92602-7204
Phone (951) 471-0200

Other identifiers 1

IdentifierTypeStateIssuer
A62691OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

1 League
Unit 61284
Irvine, CA 92602

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1669883237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEAGUE # 61284",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926027204",
            "telephone_number": "951-471-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31571 CANYON ESTATES DR",
            "address_2": "#228",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320468",
            "telephone_number": "951-471-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. LAM M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-471-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A62691",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.