The Metabolic Health Clinic, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A113533 Issued in CA

Legal business name

THE METABOLIC HEALTH CLINIC, INC.

Practice address

845 Oak Grove Ave Ste 110
Menlo Park, CA 94025-4445

Phone

(650) 538-6515

Fax

(888) 706-5628

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Manuel Lam, MDNPI 1114217486

Title

Owner

Phone

(650) 538-6515

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manuel Yinjan Lam, MD

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1114217486
  NPD Authorized official

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1881181493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 HAVEN AVE APT 4104",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251084",
            "telephone_number": "650-450-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 OAK GROVE AVE STE 110",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254445",
            "telephone_number": "650-538-6515",
            "fax_number": "888-706-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE METABOLIC HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-538-6515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A113533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Elise Taylor
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• Adriana Esther Telias Rabinovich, RDN
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• Christine Thibaut, C.C.P.
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• Lorna Marie Thornton, MD
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• Ryan Sebastian Thurwachter

• Medical Specialty Clinic/Center in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.