MEDICARE: MR. ANTONY Y LIM L.AC.

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
1	171100000X	Acupuncturist	AC 8793	CA

General Provider Information

NPI Number	:	1578751517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTONY Y LIM L.AC.

Provider Business Mailing Address
First Line	:	3435 CAMINO DEL RIO S
Second Line	:	307
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3902
Country	:	US
Telephone Number	:	619-591-8452
Fax Number	:

Provider Business Practice Location Address
First Line	:	3435 CAMINO DEL RIO S
Second Line	:	307
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3902
Country	:	US
Telephone Number	:	619-591-8452
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	07/29/2014

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Directions to “ MR. ANTONY Y LIM L.AC.” Practice Location

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