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Organization

FRED LIM, M.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRED T. LIM M.D. (PRESIDENT)
(818) 949-8877
Entity
Organization

Contact information

Practice address
1420 S CENTRAL AVE, GLENDALE, CA 91204-2508
(818) 588-6653
(626) 795-4894
Mailing address
700 E UNION ST UNIT 209, PASADENA, CA 91101-5667
(818) 624-7000
(626) 795-4894

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A75403
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A75403
CA

Other

Enumeration date
02/01/2007
Last updated
06/26/2025
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