Healthcare Provider Details

I. General information

NPI: 1134048317
Provider Name (Legal Business Name): SHEVERLY LIM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S FREMONT AVE
ALHAMBRA CA
91803-8800
US

IV. Provider business mailing address

1000 S FREMONT AVE
ALHAMBRA CA
91803-8800
US

V. Phone/Fax

Practice location:
  • Phone: 626-299-3522
  • Fax:
Mailing address:
  • Phone: 626-299-3522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number704480
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: