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General NPI Number Information
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NPI Number | 1720196702
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Entity Type | Organization
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Legal Business Name | HIGH DESERT MEDICAL GROUP
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 43839 15TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-4756
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Country | US
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Telephone | 661-945-5984
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Fax | 661-951-3192
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Provider Business Mailing Address
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Address Line | PO BOX 7007
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City | LANCASTER
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State | CA
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Zip | 93539-7007
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Country | US
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Telephone | 661-945-5984
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Fax | 661-951-3192
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. CHARLES MYAING LIM
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Credential | M.D.
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Telephone | 661-945-5984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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