Lim, Fred T

Lim, Fred T is an sole proprietor health care provider with primary practice located at 1420 S Central Ave , Glendale CA 91204-2508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Lim, Fred T can be contacted via phone (818) 502-2327.

Contact Information

Primary practice address
1420 S Central Ave Glendale CA 91204-2508
Phone: (818) 502-2327
Fax: (626) 795-4894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A75403 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A75403 California

Profile Details

NPI number 1801859715
LBN Legal business name Lim, Fred T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2006
Last updated Oct 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801859715 NPPES
California MEDICAID 00A754030

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