Individual
CHRISTINA LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9170 HAVEN AVE STE 102, RANCHO CUCAMONGA, CA 91730-5416
(909) 440-1014
(909) 440-1015
Mailing address
601 E 8TH ST APT 117, AZUSA, CA 91702-2579
(858) 357-5161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34426
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
10/19/2020
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