Organization
SIERRA MEDICAL GROUP HOLDING COMPANY, INC.
Active
Organization
SIERRA MEDICAL GROUP HOLDING COMPANY, INC.
Active
Other names
Sierra Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES LIM M.D. (MEDICAL DIRECTOR)
(818) 654-3463
Entity
Organization
Contact information
Practice address
44469 10TH ST W, LANCASTER, CA 93534-3324
(818) 654-3463
(818) 654-3460
Mailing address
8510 BALBOA BLVD, SUITE 285, NORTHRIDGE, CA 91325-3583
(818) 654-3463
(818) 654-3460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/03/2008
Last updated
11/18/2009
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