Individual
JONATHAN PETER LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
DR.0072889
CO
208000000X
Pediatrics Physician
Primary
20A25171
CA
2080P0201X
Pediatric Allergy/Immunology Physician
20A25171
CA
390200000X
Student in an Organized Health Care Education/Training Program
DR.0072889
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/12/2021
Last updated
06/10/2026
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