Individual ProviderBryan LamInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021(323) 783-4516PECOS EnrollmentBased on the most recent information from CMS, provider Bryan Lam is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1154859072Provider TypeIndividualFull NameLam, BryanTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date5/24/2017Last Updated12/6/2021Contact InformationPractice LocationPractice Address4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021Phone(323) 783-4516FaxUnlisted FaxMailing LocationMailing Address4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA157227CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer