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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