| Gabriel Lam, Lcsw, Inc. | |
|
1073 Ross Ave Ste C El Centro CA 92243-4371 | |
| (442) 236-8668 | |
| (760) 482-5696 |
| Full Name | Gabriel Lam, Lcsw, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1073 Ross Ave Ste C, El Centro, California |
| Authorized Official Name and Position | Gabriel Lam (PROVIDER) |
| Authorized Official Contact | 7604552155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriel Lam, Lcsw, Inc. 1073 Ross Ave Ste C El Centro CA 92243-4371 Ph: (442) 236-8668 | Gabriel Lam, Lcsw, Inc. 1073 Ross Ave Ste C El Centro CA 92243-4371 Ph: (442) 236-8668 |
| NPI Number | 1487173522 |
|---|---|
| Provider Enumeration Date | 09/10/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6204234495 |
|---|---|
| Medicare Enrollment ID | O20211001000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487173522 | NPI | - | NPPES |
| 1659695971 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 26366 (California) | Primary |
| Provider Name | Gabriel Lam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659695971 PECOS PAC ID: 0749589703 Enrollment ID: I20160427000207 |
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