MEDICARE: JOSHUA H LIM L.AC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC15546	CA

General Provider Information

NPI Number	:	1407251291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA H LIM L.AC

Provider Business Mailing Address
First Line	:	15501 SAN FERNANDO MISSION BLVD
Second Line	:	SUITE 311
City	:	MISSION HILLS
State	:	CA
Zip	:	91345-1359
Country	:	US
Telephone Number	:	213-399-8782
Fax Number	:

Provider Business Practice Location Address
First Line	:	15501 SAN FERNANDO MISSION BLVD
Second Line	:	SUITE 311
City	:	MISSION HILLS
State	:	CA
Zip	:	91345-1359
Country	:	US
Telephone Number	:	213-399-8782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2014
Last Update Date	:	10/23/2014

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