Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivan Clifford Lam

Individual provider Physical Therapist · NPI 1336953256

Ivan Clifford Lam is a Physical Therapist in Private Practice in El Monte, California. Qualified in 2024, 2 years ago. Practices with 360 Wellness Physical Therapy, a 5-clinician group.

Years since qualifying
2
In the registry since
2025

Practice location Address checks out

3629 Santa Anita Ave Ste 203
El Monte, CA 91731-3646
Phone: (626) 864-3198
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1336953256
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address3629 Santa Anita Ave Ste 203, El Monte, CA 91731-3646

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice 360 Wellness Physical Therapy — 5 clinicians
Accepts Medicare assignment Not indicated

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