Lim, Jung J
Lim, Jung J is an sole proprietor health care provider with primary practice located at 5 Medical Plaza Drive Suite 200, Roseville CA 95661-2867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Lim, Jung J can be contacted via phone (916) 784-1836.Contact Information
Primary practice address
5 Medical Plaza Drive Suite 200
Roseville CA 95661-2867
Phone: (916) 784-1836
Fax: (916) 784-1880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 20A8767 | California |
Profile Details
| NPI number | 1689757049 |
|---|---|
| LBN Legal business name | Lim, Jung J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2006 |
| Last updated | Sep 26th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689757049 | NPPES |
| California | MEDICAID | 00AX87670 |
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