Provider Demographics
NPI:1508899493
Name:LIM, JOHN CHIN-TIONG (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CHIN-TIONG
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3129
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-3129
Mailing Address - Country:US
Mailing Address - Phone:310-792-3914
Mailing Address - Fax:855-898-4055
Practice Address - Street 1:4201 TORRANCE BLVD STE 530
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:310-540-5599
Practice Address - Fax:310-371-7812
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2018-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG52785207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG52785BMedicare PIN
CAA93175Medicare UPIN