Organization
REDWOOD PULMONARY MEDICAL ASSOCIATES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SUSANN LIM M.D. (PRESIDENT)
(650) 367-5636
Entity
Organization
Contact information
Practice address
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062-2751
(650) 367-5636
(650) 367-5110
Mailing address
170 ALAMEDA DE LAS PULGAS, REDWOOD CITY, CA 94062-2751
(650) 367-5636
(650) 367-5110
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G74100
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
G74100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0095050
—
CA
Enumeration date
06/13/2005
Last updated
11/09/2017
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