Provider Demographics
NPI:1093728909
Name:LIM, MARGIE (MD)
Entity Type:Individual
Prefix:
First Name:MARGIE
Middle Name:
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1500 OWENS ST
Mailing Address - Street 2:ST 360
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2334
Mailing Address - Country:US
Mailing Address - Phone:415-353-8646
Mailing Address - Fax:415-353-8603
Practice Address - Street 1:1500 OWENS ST STE 360
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2335
Practice Address - Country:US
Practice Address - Phone:415-353-8646
Practice Address - Fax:415-353-8603
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA61477207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine