Individual
FLORA LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15435 S WESTERN AVE STE 201, GARDENA, CA 90249-4324
(310) 515-9871
Mailing address
3110 COCHISE WAY UNIT 93, FULLERTON, CA 92833-4921
(201) 290-4967
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
NP95013815
CA
363LG0600X
Gerontology Nurse Practitioner
NP95013815
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95013815
CA
Other
Enumeration date
11/08/2020
Last updated
03/10/2021
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