Individual ProviderLai Chanh LamMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3850 Crenshaw Blvd, Los Angeles, CA 90008-1821(323) 751-3026PECOS EnrollmentBased on the most recent information from CMS, provider Lai Chanh Lam does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1609519487Provider TypeIndividualFull NameLam, Lai ChanhGenderMaleSole ProprietorYesEnumeration Date4/19/2022Last Updated4/19/2022Contact InformationPractice LocationPractice Address3850 Crenshaw Blvd, Los Angeles, CA 90008-1821Phone(323) 751-3026FaxUnlisted FaxMailing LocationMailing Address3850 Crenshaw Blvd, Los Angeles, CA 90008-1821Phone(323) 751-3026FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseAMFT120356California