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NPI Code Detail

MEDICARE: EDWARD MINA LIM MD

MEDICARE: EDWARD MINA LIM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianA74054CA
22084P0800XPsychiatry Physician28890NE

General Provider Information

NPI Number : 1386660447
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD MINA LIM MD
Provider Business Mailing Address
First Line : 2201 FRANCISCO DR STE 140-129
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-3713
Country : US
Telephone Number : 510-755-5854
Fax Number : 844-461-6770
Provider Business Practice Location Address
First Line : 2231 LINCOLN RD
Second Line :
City : BELLEVUE
State : NE
Zip : 68005-3907
Country : US
Telephone Number : 402-291-1203
Fax Number : 402-291-3915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 04/04/2024

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Directions to “ EDWARD MINA LIM MD” Practice Location

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