Organization Active NPI

Walter Lam DDS a Professional Corporation

  • Customized Equipment (DME)
  • West Covina, CA
National Provider Identifier
1750664355
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
WALTER LAM DDS A PROFESSIONAL CORPORATION
Practice address
2707 E Valley Blvd
Suite 211
West Covina, CA 91792-3195
Phone
(626) 679-7977
Fax
(626) 768-7334
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Walter Lam
Title
President
Phone
(626) 289-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2707 E Valley Blvd
Suite 211
West Covina, CA 91792-3195

Mailing address

723 S Garfield Ave.
Suite 205
Alhambra, CA 91801-4429
Phone (626) 289-1020

National Provider Directory

National Provider Directory

Locations

723 S Garfield Ave
Ste 205
Alhambra, CA 91801
Phone (626) 289-1020

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1750664355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S GARFIELD AVE.",
            "address_2": "SUITE 205",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014429",
            "telephone_number": "626-289-1020",
            "fax_number": "626-768-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD",
            "address_2": "SUITE 211",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923195",
            "telephone_number": "626-679-7977",
            "fax_number": "626-768-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER LAM DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-289-1020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.