Individual ProviderWhitney LamNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Ucla Medical Plz Ste 365b, Los Angeles, CA 90095-8344(310) 825-8061(310) 301-8707PECOS EnrollmentBased on the most recent information from CMS, provider Whitney 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 today at 11:47 AM.Profile DetailsProvider ID1881288272Provider TypeIndividualFull NameLam, WhitneyCredentialNPGenderFemaleSole ProprietorYesEnumeration Date2/25/2021Last Updated1/30/2026Contact InformationPractice LocationPractice Address200 Ucla Medical Plz Ste 365b, Los Angeles, CA 90095-8344Phone(310) 825-8061FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd, Suite 400, Los Angeles, CA 90095-5631Phone(310) 301-8707FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95015220CaliforniaCode207RP1001XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense95015220California