Healthcare Provider Details

I. General information

NPI: 1679488134
Provider Name (Legal Business Name): PATRICK ANGELO SANCHEZ LIM DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10181 MAGNOLIA AVE
RIVERSIDE CA
92503-3444
US

IV. Provider business mailing address

1410 E LAURELWOOD DR
SAN BERNARDINO CA
92408-3676
US

V. Phone/Fax

Practice location:
  • Phone: 951-689-0701
  • Fax:
Mailing address:
  • Phone: 910-689-7491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113421
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: