Individual
JINA LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 977-3000
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 977-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A121375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A121375
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
05/20/2012
Last updated
05/20/2012
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