Individual
HANA RHA LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2160 W GRANT LINE RD, SUITE 100, TRACY, CA 95377-7330
(209) 835-2227
(209) 835-2250
Mailing address
2160 W GRANT LINE RD, SUITE 100, TRACY, CA 95377-7330
(209) 835-2227
(209) 835-2250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT11807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0118070
—
CA
Enumeration date
08/28/2006
Last updated
06/03/2008
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