Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124110663 Deactivated / Inactive NPI Male Practitioner

Dr. Chan Ho Ham , MD

General Practice • Los Angeles, CA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Chan Ham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2006
NPI Deactivation Date June 18, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Chan Ham, MD was a registered General Practice practicing in Los Angeles, CA. Throughout an active medical career spanning 15 years, Dr. Ham provided care at the practice location at 815 S ARDMORE AVE until profile deactivation on 2021-06-18.

Practice Location & Contact Primary Location

Practice Address

815 S Ardmore Ave

Los Angeles, CA 900052411

Telephone 2133850448
Fax 2133650024
Associated Practice Facility / Clinic
🏢 Time Medical Biotech Facility NPI 1184181943

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
208 Specialists

Practicing in Los Angeles, CA (2300 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA A34232

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 18, 2021

Record deactivated on June 18, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 815 S ARDMORE AVE, LOS ANGELES, CA 900052411 (Tel: 2133850448)

📍
Updated Business Mailing Address July 08, 2007

Registered at 815 S ARDMORE AVE, LOS ANGELES, CA 900052411 (Tel: 2133850448)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHAN HAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #A34232 in CA)

🟢
Initial NPI Registration & Enumeration September 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Chan Ham. Be the first to share your experience!

Sign in to leave a review for Dr. Chan Ham

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124110663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: July 08, 2007
Deactivation Date: June 18, 2021

Mailing Address

815 S Ardmore Ave

Los Angeles, CA 900052411

Phone: 2133850448

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.