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NPI Code Detail

MEDICARE: DR. CHUNG LIM D.C.

MEDICARE:  DR. CHUNG  LIM  D.C.
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
1111N00000XChiropractor30917CA
2111NS0005XSports Physician Chiropractor30917CA

General Provider Information

NPI Number : 1477701555
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHUNG LIM D.C.
Provider Business Mailing Address
First Line : 2233 HUNTINGTON DR STE 9
Second Line :
City : SAN MARINO
State : CA
Zip : 91108-2655
Country : US
Telephone Number : 626-441-1800
Fax Number : 626-441-1802
Provider Business Practice Location Address
First Line : 2233 HUNTINGTON DR STE 9
Second Line :
City : SAN MARINO
State : CA
Zip : 91108-2655
Country : US
Telephone Number : 626-441-1800
Fax Number : 626-441-1802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 05/18/2022

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Directions to “ DR. CHUNG LIM D.C.” Practice Location

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