Individual
DR. DERRICK GUY LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5649 ATLANTIC AVE, LONG BEACH, CA 90805-4710
(562) 422-3378
Mailing address
5649 ATLANTIC AVE, LONG BEACH, CA 90805-4710
(562) 422-3378
(909) 869-9354
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10509TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0105090
—
CA
Enumeration date
11/04/2005
Last updated
09/12/2022
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