Provider Demographics
NPI:1053045211
Name:LIM, SOKLIN K
Entity Type:Individual
Prefix:
First Name:SOKLIN
Middle Name:K
Last Name:LIM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16146 TOPIARY LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-5973
Mailing Address - Country:US
Mailing Address - Phone:909-774-9888
Mailing Address - Fax:
Practice Address - Street 1:16146 TOPIARY LN
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-5973
Practice Address - Country:US
Practice Address - Phone:909-774-9888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)