Lim, Mi-Jin

Lim, Mi-Jin is an individual health care provider with primary practice located at 638 Camino De Los Mares A120, San Clemente CA 92673-2848. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lim, Mi-Jin can be contacted via phone (949) 493-2269.

Contact Information

Primary practice address
638 Camino De Los Mares A120 San Clemente CA 92673-2848
Phone: (949) 493-2269
Fax: (949) 493-2448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10904T California

Profile Details

NPI number 1164589404
LBN Legal business name Lim, Mi-Jin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Mar 10th, 2014 - about 10 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 1164589404 NPPES
California MEDICAID 7678936

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