Individual
ELAINE ROTHA LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 LENNON LN STE 255, WALNUT CREEK, CA 94598
(925) 932-7704
(925) 932-7752
Mailing address
355 LENNON LN STE 255, WALNUT CREEK, CA 94598-2496
(925) 932-7704
(925) 932-7752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA56935
CA
363AS0400X
Surgical Physician Assistant
Primary
PA56935
CA
Other
Enumeration date
04/22/2019
Last updated
01/19/2023
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