Holly Hong Lam | San Jose, CA • PECOS Search

Holly Hong Lam

Social Worker

Behavioral Health & Social Service Providers

210 N 4th St Ste 100, San Jose, CA 95112-5573

PECOS Enrollment

Based on the most recent information from CMS, provider Holly Hong Lam does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1609902188
Provider Type
Individual
Full Name
Lam, Holly Hong
Credential
MSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/26/2007
Last Updated
7/8/2007

Contact Information

Practice Location

210 N 4th St Ste 100, San Jose, CA 95112-5573

Unlisted Fax

Mailing Location

210 N 4th St Ste 100, San Jose, CA 95112-5573

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License ASW 19821 California