Provider Demographics
NPI:1215819826
Name:LAM, KHOI (PMHNP)
Entity type:Individual
Prefix:
First Name:KHOI
Middle Name:
Last Name:LAM
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:MINH
Other - Middle Name:
Other - Last Name:LAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1395
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92684-1395
Mailing Address - Country:US
Mailing Address - Phone:714-725-0608
Mailing Address - Fax:
Practice Address - Street 1:18032 HARTLUND LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-1510
Practice Address - Country:US
Practice Address - Phone:714-725-0608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95036170363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health