DR. IRENE TAM (NPI# 1316121221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316121221 |
| Entity Type | Individual |
| Full Name | DR. IRENE TAM |
| Other Name | WAI YAN TAM |
| Credential | D.D.S. |
| Practice Address |
10833 Leconte Ave Los Angeles CA 90095-0001 |
| Mailing Address |
7520 Fern Ave Rosemead CA 91770-2923 |
| Practice Telephone | 3108253795 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
53954 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164793832 | Irene Tam | Registered Nurse | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2012-01-26 |
| Street Address |
10833 LECONTE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134199946 | Derek Alan Wong | Medical Genetics | 10833 Leconte Ave, Mdcc 12-334, Los Angeles, CA 90095-1732 | 2006-01-24 |
| 1548664089 | Susana Pak Chae | Nurse Anesthetist, Certified Registered | 10833 Leconte Ave, Room 56-142 Chs, Los Angeles, CA 90095-0001 | 2014-10-13 |
| 1871929570 | Suzanne Hollander | Dietitian, Registered | 10833 Leconte Ave, Mdcc 12-334, Los Angeles, CA 90095-0001 | 2013-09-25 |
| 1952604613 | Elise Marie Martin | Internal Medicine | 10833 Leconte Ave, 37-121 Chs, Los Angeles, CA 90095-0001 | 2010-12-17 |
| 1407162381 | Gil B Ivry | Dentist | 10833 Leconte Ave, A0-156 Chs, Los Angeles, CA 90095-0001 | 2010-08-30 |
| 1922323856 | Grace Deukmedjian | Pediatrics | 10833 Leconte Ave, Suite 265, Los Angeles, CA 90095-0001 | 2010-04-04 |
| 1376784678 | Negar Khanlou | Pathology | 10833 Leconte Ave, Box 951732, A7-149 Chs Box 116, Los Angeles, CA 90095-0001 | 2009-03-16 |
| 1235397902 | Neil A Martin, Md, Inc | Neurological Surgery | 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2008-05-29 |
| 1942468624 | John G Frazee Md A Professional Corporation | Neurological Surgery | 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2008-05-29 |
| 1508031881 | Stacie Lynn Schurman | Advanced Practice Midwife | 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2008-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1891136768 | Mahdad Nassiri | Dentist | 11740 Wilshire Blvd, Apt A1008, Los Angeles, CA 90025-6536 | 2013-07-08 |
| 1821336116 | Soheil Levi | Dentist | 31 Oakmont Dr, Los Angeles, CA 90049-1901 | 2013-01-22 |
| 1669716437 | Flavia Pirih | Dentist | 100 Ucla Medical Plaza, Suite 320, Los Angeles, CA 90095 | 2012-11-19 |
| 1932453198 | Marwa B Abulhasan | Dentist | 925 W 34th St # 108, Los Angeles, CA 90089-3075 | 2012-11-08 |
| 1588925010 | One Dental Specialties | Dentist | 621 S Western Ave, Suite 116, Los Angeles, CA 90005-3039 | 2012-05-31 |
| 1144591462 | Jacob Elisha | Dentist | 11600 Wilshire Blvd Ste 504, Los Angeles, CA 90025-1788 | 2012-01-18 |
| 1912278417 | Chloe Lea Cohen | Dentist | 655 S Hope St, Suite #1402, Los Angeles, CA 90017-3237 | 2012-01-16 |
| 1568695922 | Aleksander Jovanovic | Dentist | 12217 W Pico Blvd, Los Angeles, CA 90064-1134 | 2009-09-01 |
| 1649427972 | Natasha Yashar | Dentist | 13529 Bayliss Rd, Los Angeles, CA 90049-1812 | 2008-08-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.