MEDICARE: DR. ROSARIO LIM CECILIO M.D.

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	207Q00000X	Family Medicine Physician	A 46551	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	010061986	OTHER	CA	MEDICARE RAIL ROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A46551	OTHER	CA	BCBS
2	00A465510	OTHER	CA	BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	B003	OTHER	CA	CHAMPUS

General Provider Information

NPI Number	:	1841299898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSARIO LIM CECILIO M.D.

Provider Business Mailing Address
First Line	:	15111 E. WHITTIER BLVD
Second Line	:	SUITE 102
City	:	WHITTIER
State	:	CA
Zip	:	90603
Country	:	US
Telephone Number	:	562-945-6440
Fax Number	:	562-945-9121

Provider Business Practice Location Address
First Line	:	15111 E. WHITTIER BLVD
Second Line	:	SUITE 102
City	:	WHITTIER
State	:	CA
Zip	:	90603
Country	:	US
Telephone Number	:	562-945-6440
Fax Number	:	562-945-9121

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	08/27/2021

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