Provider Demographics
NPI:1477549459
Name:LIM, MICHAEL H (MD)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:H
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:937 E MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-5323
Mailing Address - Country:US
Mailing Address - Phone:805-922-1739
Mailing Address - Fax:805-922-4197
Practice Address - Street 1:1400 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5906
Practice Address - Country:US
Practice Address - Phone:805-739-3100
Practice Address - Fax:805-739-3060
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2014-05-19
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Provider Licenses
StateLicense IDTaxonomies
CAA61364207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A613640Medicaid
CAWA61364AMedicare PIN
CA00A613640Medicaid