Individual
MYOZA THERESA LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3030 W OLYMPIC BLVD, #206, LOS ANGELES, CA 90006-6501
(213) 739-8610
(213) 739-5771
Mailing address
3030 W OLYMPIC BLVD, #206, LOS ANGELES, CA 90006-6501
(213) 739-8610
(213) 739-5771
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A36593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A365930
—
CA
Enumeration date
11/15/2006
Last updated
09/22/2010
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