Healthcare Provider Details

I. General information

NPI: 1295362069
Provider Name (Legal Business Name): DAVID LIM DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 FIRE MESA ST STE 110
LAS VEGAS NV
89128-9009
US

IV. Provider business mailing address

8379 W SUNSET RD STE 210
LAS VEGAS NV
89113-2243
US

V. Phone/Fax

Practice location:
  • Phone: 702-968-2437
  • Fax:
Mailing address:
  • Phone: 702-843-5273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberDO3877
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: