Basic Information
| Provider Information | |||||||||
| NPI: | 1407253784 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAM | ||||||||
| FirstName: | HANG | ||||||||
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| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2876 NORTH SYCAMORE DRIVE | ||||||||
| Address2: | SUITE 303 | ||||||||
| City: | SIMI VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93065 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055838698 | ||||||||
| FaxNumber: | 8055272426 | ||||||||
| Practice Location | |||||||||
| Address1: | 2876 NORTH SYCAMORE DRIVE | ||||||||
| Address2: | SUITE 303 | ||||||||
| City: | SIMI VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93065 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8055838698 | ||||||||
| FaxNumber: | 8055272426 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/02/2014 | ||||||||
| LastUpdateDate: | 12/02/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AU3018 | CA | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.