Provider Demographics
NPI:1235239302
Name:LIM, PHILIP P (MD)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:P
Last Name:LIM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9604 E ARTESIA BLVD
Mailing Address - Street 2:STE #101
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-8040
Mailing Address - Country:US
Mailing Address - Phone:562-804-6661
Mailing Address - Fax:562-804-6665
Practice Address - Street 1:9604 E ARTESIA BLVD
Practice Address - Street 2:STE #101
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-8040
Practice Address - Country:US
Practice Address - Phone:562-804-6661
Practice Address - Fax:562-804-6665
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2010-02-24
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Provider Licenses
StateLicense IDTaxonomies
CAA45973207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A459730Medicaid
CA00A459730Medicaid
E51124Medicare UPIN