Provider Demographics
NPI:1033198288
Name:LAM, GIANG NGOC (MD)
Entity type:Individual
Prefix:
First Name:GIANG
Middle Name:NGOC
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1541 FLORIDA AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4423
Mailing Address - Country:US
Mailing Address - Phone:209-577-3388
Mailing Address - Fax:209-523-0764
Practice Address - Street 1:1541 FLORIDA AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4423
Practice Address - Country:US
Practice Address - Phone:209-577-3388
Practice Address - Fax:209-523-0764
Is Sole Proprietor?:No
Enumeration Date:2006-01-15
Last Update Date:2012-08-28
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Provider Licenses
StateLicense IDTaxonomies
AL00026962207Q00000X
GA056893207Q00000X
CAA93687207Q00000X
MA227144207Q00000X
FLME96689207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine