Jonathan Lam, MD, PHD | |
1400 Veterans Blvd, Redwood City, CA 94063-2612 | |
(650) 299-2160 | |
Not Available |
Full Name | Jonathan Lam |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1400 Veterans Blvd, Redwood City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134250103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0106X | Orthopaedic Surgery - Hand Surgery | 248284 (New York) | Secondary |
207X00000X | Orthopaedic Surgery | A92006 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Jonathan Lam, MD, PHD 1400 Veterans Blvd, Redwood City, CA 94063-2612 Ph: () - | Jonathan Lam, MD, PHD 1400 Veterans Blvd, Redwood City, CA 94063-2612 Ph: (650) 299-2160 |
Gannon Daniel Kennedy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arguello St Ste 100, Redwood City, CA 94063 Phone: 650-995-1285 Fax: 650-995-1208 | |
Forrest Loyd Anderson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 450 Broadway St, Mc 6342, Department Of Orthopedic Surgery, Redwood City, CA 94063 Phone: 650-721-7618 | |
David M. Bradley, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Terry B. Lowry, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Deepak Varun Chona, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 450 Broadway St, M/c 6342, Redwood City, CA 94063 Phone: 650-721-7669 | |
Charles K. Lim, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 |