Provider Demographics
NPI:1518415975
Name:LIM, BAN HONG (PHD)
Entity Type:Individual
Prefix:DR
First Name:BAN HONG
Middle Name:
Last Name:LIM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:PHYLICE
Other - Middle Name:
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:26312 PINES ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-3846
Mailing Address - Country:US
Mailing Address - Phone:785-312-4077
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 951556
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-1824
Practice Address - Country:US
Practice Address - Phone:310-825-0768
Practice Address - Fax:310-206-7365
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist