Provider Demographics
NPI:1164520532
Name:LIM, LINDA LEE (L AC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:LEE
Last Name:LIM
Suffix:
Gender:F
Credentials:L AC
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Mailing Address - Street 1:12395 EL CAMINO REAL
Mailing Address - Street 2:SUITE 311
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-3085
Mailing Address - Country:US
Mailing Address - Phone:858-481-3391
Mailing Address - Fax:858-481-9065
Practice Address - Street 1:12395 EL CAMINO REAL
Practice Address - Street 2:SUITE 311
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-3085
Practice Address - Country:US
Practice Address - Phone:858-481-3391
Practice Address - Fax:858-481-9065
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAAC5302171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist