East-West Medical Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A84750 Issued in CA

Legal business name

EAST-WEST MEDICAL WELLNESS

Practice address

7151 Lincoln Ave Ste K
Buena Park, CA 90620-4615

Phone

(714) 952-1080

Fax

(714) 952-1660

NPI assigned

Jul 10, 2017

Organization subpart

No

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

Authorized official

Name

Khanh Minh Lam

Title

Ceo

Phone

(714) 952-1080

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1760904965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 LINCOLN AVE STE K",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204615",
            "telephone_number": "714-952-1080",
            "fax_number": "714-952-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 LINCOLN AVE STE K",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204615",
            "telephone_number": "714-952-1080",
            "fax_number": "714-952-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST-WEST MEDICAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "KHANH",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-952-1080"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A84750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356321384",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.