JONATHAN TAM

LOS ANGELES, CA
NPI1619133600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207KA0200X Allergy & Immunology, Allergy
(Licence: CA  A125923)
Additional Taxonomies208000000X Pediatrics
(Licence: IL  125-052818)
208000000X Pediatrics
(Licence: WI  54495)
Enumeration Date2008-07-30
Last Update Date2015-06-17
Business Address
-- JONATHAN TAM MD
4650 W SUNSET BLVD MS#75
LOS ANGELES, CA 90027-6062
Phone number: 323-361-2501
Mailing Address
-- JONATHAN TAM MD
4650 W SUNSET BLVD MS#75
LOS ANGELES, CA 90027-6062
Phone number: 323-361-2501