Organization
ERL MEDICAL CORPORATION
Active
Other names
Lim-Keith Multispecialty Medical Clinic Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL R LIM MD (PRESIDENT/ MEDICAL DIRECTOR)
(323) 964-1440
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD, STE 1510, LOS ANGELES, CA 90048-5801
(323) 964-1440
(323) 937-5283
Mailing address
6200 WILSHIRE BLVD, STE 1510, LOS ANGELES, CA 90048-5801
(323) 964-1440
(323) 937-5283
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A43525
CA
332B00000X
Durable Medical Equipment & Medical Supplies
1262270001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0072070
—
CA
Enumeration date
12/28/2006
Last updated
08/08/2012
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