Search › California › 363A00000X
Alex Van Der Ham, PA
NPI 1043853237 · on the registry since 2019 · sole proprietor
Practice
- Address
- 26730 Towne Centre Dr Ste 204
Lake Forest, CA 92610 - Phone
- (949) 380-1234
Additional practice sites
- 2575 Yorba Linda Blvd, Fullerton, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California