PHONG LAM
NPI 1770034696
Counselor - Addiction (Substance Use Disorder) in San Jose, CA

Active since October 14, 2016
1340 TULLY RD STE 304, SAN JOSE, CA 95122(408) 271-3900 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phong Lam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHONG LAM (NPI 1770034696) is an individual addiction (substance use disorder) provider in San Jose, California and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1770034696
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePHONG LAM
Location Address1340 TULLY RD STE 304San Jose, CA 95122-3055
Mailing Address1764 Arroyo De OroSan Jose, CA 95116-1349
Sole ProprietorYes
Enumeration DateOctober 14, 2016
NPI 1770034696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1340 TULLY RD STE 304, San Jose, CA 95122

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
1340 TULLY RD STE 304
SAN JOSE, CA 95122
Counselor
1340 TULLY RD STE 304
SAN JOSE, CA 95122
Social Worker
1340 TULLY RD STE 304
SAN JOSE, CA 95122
Marriage & Family Therapist
1340 TULLY RD STE 304
SAN JOSE, CA 95122
Counselor (Professional)
1340 TULLY RD STE 304
SAN JOSE, CA 95122
Social Worker
1340 TULLY RD STE 304
SAN JOSE, CA 95122
Case Manager/Care Coordinator
1340 TULLY RD STE 304
SAN JOSE, CA 95122
Peer Specialist
1340 TULLY RD STE 304
SAN JOSE, CA 95122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phong Lam's NPI number?

The NPI number for Phong Lam is 1770034696. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Where is Phong Lam located?

Phong Lam practices at 1340 Tully Rd Ste 304, San Jose, CA 95122. The listed phone number is (408) 271-3900.

What is Phong Lam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phong Lam was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.