=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720949993
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SLIM MD INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2025
-----------------------------------------------------
Last Update Date | 01/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2120 W 8TH ST STE 102
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90057-4081
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-353-4792
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2120 W 8TH ST STE 102
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90057-4081
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-353-4792
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT / CEO
-----------------------------------------------------
Name | SEUNG HA LIM
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 818-947-5955
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------