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Lydia Tin-Wei Tam

Pediatrics

Allopathic & Osteopathic Physicians

550 16th Street, 4th Floor Box 0110, University Of California San Francisco, San Francisco, CA 94158

PECOS Enrollment

This provider is enrolled in PECOS as LYDIA TAM.

Based on the most recent information from CMS, provider Lydia Tin-Wei Tam is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1467193284
Provider Type
Individual
Full Name
Tam, Lydia Tin-Wei
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/5/2022
Last Updated
7/9/2025

Contact Information

Practice Location

550 16th Street, 4th Floor Box 0110, University Of California San Francisco, San Francisco, CA 94158

(415) 476-3565

Unlisted Fax

Mailing Location

550 16th Street, 4th Floor Box 0110, Dept Of Pediatrics, Univ Of California San Francisco, San Francisco, CA 94158

(415) 476-3565

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2080P0207X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License A202041 California
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License 61298437 Washington
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Lydia Tin-Wei Tam

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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