Lims Valley Medical Center Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

LIMS VALLEY MEDICAL CENTER CORPORATION

Practice address

10700 Balboa Blvd
Granada Hills, CA 91344-5001

Phone

(818) 366-6550

NPI assigned

Jun 4, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Duck Lim, MD

Title

Presidnet

Phone

(818) 366-6550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1073137105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445001",
            "telephone_number": "818-366-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445001",
            "telephone_number": "818-366-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMS VALLEY MEDICAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "DUCK",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "818-366-6550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "A50830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifeline Dialysis Center LLC
• Lifelong Senior Living
• Jacob Lilley, DC
• Jungjae Lim, M.D.
• Kenneth Tan Lim
• Henry Yuheng Lin
• Wallace J Lipp, DDS
• Jennifer Van Liptawat, LAC
• Andrea Lira, M.S.
• Lynda Llamas

• Gastroenterology Physician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.