Provider Demographics
NPI:1689029563
Name:LIM, JUNGJAE (MD)
Entity Type:Individual
Prefix:DR
First Name:JUNGJAE
Middle Name:
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10700 BALBOA BLVD
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344
Mailing Address - Country:US
Mailing Address - Phone:818-826-4145
Mailing Address - Fax:818-338-2807
Practice Address - Street 1:10700 BALBOA BLVD
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344
Practice Address - Country:US
Practice Address - Phone:818-366-6550
Practice Address - Fax:818-366-6555
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2022-11-16
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Provider Licenses
StateLicense IDTaxonomies
CAA1605842081P2900X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine