Healthcare Provider Details

I. General information

NPI: 1326305475
Provider Name (Legal Business Name): RACHEL JOY LIM SY-LAYUG D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL JOY LIM SY D.O.

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD
TRIPLER AMC HI
96859-5001
US

IV. Provider business mailing address

1 JARRETT WHITE RD
TRIPLER AMC HI
96859-5001
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-6418
  • Fax:
Mailing address:
  • Phone: 808-433-6418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDOS-1734
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberDOS-1734
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: