Individual
CYNTHIA LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1646 BROADWAY ST, VALLEJO, CA 94590-2405
(707) 645-8576
Mailing address
1646 BROADWAY ST, VALLEJO, CA 94590-2405
(707) 645-8576
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A73071
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A730710
—
CA
Enumeration date
07/13/2006
Last updated
07/09/2007
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