Healthcare Provider Details

I. General information

NPI: 1124839543
Provider Name (Legal Business Name): ERIC KWAN WOO LIM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4142 PACIFIC COAST HWY
TORRANCE CA
90505-5714
US

IV. Provider business mailing address

18313 PATRONELLA AVE
TORRANCE CA
90504-4911
US

V. Phone/Fax

Practice location:
  • Phone: 310-375-9019
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH90550
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: