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General NPI Number Information
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NPI Number | 1891871018
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Entity Type | Organization
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Legal Business Name | JOHN C LIM MD & FRANCINE F ITO MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 4201 TORRANCE BLVD SUITE 310
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City | TORRANCE
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State | CA
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Zip | 90503-4504
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Country | US
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Telephone | 310-792-3914
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Fax | 310-792-3621
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Provider Business Mailing Address
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Address Line | 4201 TORRANCE BLVD SUITE 310
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City | TORRANCE
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State | CA
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Zip | 90503-4504
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Country | US
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Telephone | 310-792-3914
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Fax | 310-792-3621
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN CHIN-TIONG LIM
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Credential |
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Telephone | 310-540-5599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | G52785
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License Number State | CA
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