Individual
MR. JASON ANDY LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5451 LA PALMA AVE STE 47, LA PALMA, CA 90623-1732
(714) 562-8560
Mailing address
5451 LA PALMA AVE STE 47, LA PALMA, CA 90623-1732
(714) 562-8560
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95010320
CA
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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