Provider Demographics
NPI:1578799037
Name:NAM, ENOCH H (MD)
Entity type:Individual
Prefix:DR
First Name:ENOCH
Middle Name:H
Last Name:NAM
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 YGNACIO VALLEY RD STE 150
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3455
Mailing Address - Country:US
Mailing Address - Phone:925-268-0338
Mailing Address - Fax:925-268-0339
Practice Address - Street 1:2700 YGNACIO VALLEY RD STE 150
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3455
Practice Address - Country:US
Practice Address - Phone:925-222-5476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110996207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist