NPI Code Details Logo

NPI 1225532047

NPI 1225532047 : SOOBIN LIM MD : MONTEREY, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1225532047
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SOOBIN LIM MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/19/2018
-----------------------------------------------------
    Last Update Date     |    10/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    400 PEARL ST 
-----------------------------------------------------
    City                 |    MONTEREY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93940-3018
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-718-8585
-----------------------------------------------------
    Fax                  |    831-901-3641
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    400 PEARL ST 
-----------------------------------------------------
    City                 |    MONTEREY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93940-3018
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-718-8585
-----------------------------------------------------
    Fax                  |    831-901-3641
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208200000X
-----------------------------------------------------
    Taxonomy Name        |    Plastic Surgery Physician
-----------------------------------------------------
    License Number       |    A193288
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.