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NPI Code Detail

MEDICARE: REDWOOD PULMONARY MEDICAL ASSOCIATES A MEDICAL CORPORATION

MEDICARE: REDWOOD PULMONARY MEDICAL ASSOCIATES A MEDICAL CORPORATION
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
1207RS0012XSleep Medicine (Internal Medicine) PhysicianG74100CA
2207RP1001XPulmonary Disease PhysicianG74100CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720083157
Entity Type Code : Organization
Provider Name (Legal Business Name) : REDWOOD PULMONARY MEDICAL ASSOCIATES A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 170 ALAMEDA DE LAS PULGAS
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94062-2751
Country : US
Telephone Number : 650-367-5636
Fax Number : 650-367-5110
Provider Business Practice Location Address
First Line : 170 ALAMEDA DE LAS PULGAS
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94062-2751
Country : US
Telephone Number : 650-367-5636
Fax Number : 650-367-5110
Authorized Official
Title or Position : PRESIDENT
Name : MELISSA SUSANN LIM
Credential : M.D.
Telephone Number : 650-367-5636
Provider Enumeration Date : 06/13/2005
Last Update Date : 11/09/2017

Similar Medicare Providers

1013910777 — DR. MELISSA SUSANN LIM M.D.
Practice Location Address:
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA
94062-2751
Practice Phone: 650-367-5636
Practice Fax: 650-367-5110
1649261371 — CLARENCE DALE YOUNG MD
Practice Location Address:
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA
94062-2751
Practice Phone: 209-342-2300
Practice Fax: 209-524-4240
1063403707 — LISA KRISTEN BOOHAR MD
Practice Location Address:
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA
94062-2751
Practice Phone: 209-342-2300
Practice Fax: 209-524-4240
1811930555 — SEQUOIA HEALTH SERVICES
Practice Location Address:
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA
94062-2751
Practice Phone: 650-369-5811
Practice Fax: 650-367-5100
1427091156 — SEQUOIA HEALTH SERVICES
Practice Location Address:
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA
94062-2751
Practice Phone: 650-369-5811
Practice Fax: 650-367-5100
1689617342 — SEQUOIA HEALTH SERVICES
Practice Location Address:
170 ALAMEDA DE LAS PULGAS
REDWOOD CITY, CA
94062-2751
Practice Phone: 650-369-5811
Practice Fax: 650-367-5100

Directions to “REDWOOD PULMONARY MEDICAL ASSOCIATES A MEDICAL CORPORATION ” Practice Location

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