Phuong Tu Lam

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

845294 Issued in CA

Practice address

17100 Euclid St
Fountain Valley, CA 92708-4004

Phone

(714) 513-5521

NPI assigned

Jun 13, 2018

Last updated

Jun 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1952894982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8672 LARIAT AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442509",
            "telephone_number": "714-726-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 EUCLID ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084004",
            "telephone_number": "714-513-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "PHUONG",
        "middle_name": "TU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "845294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalla-Reddy Medical Coporation
• Sujata Lalla-Reddy, M.D.
• Jeanie Lam, FNP-C
• Jennie Lam, OTR/L, OTD
• Jennifer T Lam
• Tuan T. Lam, M.D.
• Debi Duci Lambert, NP
• Mikayla Lynn Landon
• Lane Chiropractic Rehabilitation Center
• Andrew W Lane, DC

• Medical-Surgical Registered Nurse in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Medical-Surgical Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.