Individual
MR. LESLEY LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12538 ECKLESON ST, CERRITOS, CA 90703-7848
(562) 900-0949
Mailing address
12538 ECKLESON ST, CERRITOS, CA 90703-7848
(562) 900-0949
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95036191
CA
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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