Tam, Jonathan
Tam, Jonathan is an individual health care provider with primary practice located at 4650 W Sunset Blvd Ms#75, Los Angeles CA 90027-6062. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Tam, Jonathan can be contacted via phone (323) 361-2501.Contact Information
Primary practice address
4650 W Sunset Blvd Ms#75
Los Angeles CA 90027-6062
Phone: (323) 361-2501
Fax: (323) 361-1191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125-052818 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 54495 | Wisconsin |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | A125923 | California |
Profile Details
| NPI number | 1619133600 |
|---|---|
| LBN Legal business name | Tam, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2008 |
| Last updated | Jun 17th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619133600 | NPPES |
| Illinois | Other | 125-052818 | ILLINOIS LICENSE |
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