Eugene Jongin Lim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61943 Issued in CA

Practice address

680 Wilshire PL
#411
Los Angeles, CA 90005-3931

Phone

(213) 738-7077

Fax

(213) 738-0111

NPI assigned

Nov 15, 2012

Last updated

Sep 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jong In Lim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1225372295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 HOPETON RD",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912141323",
            "telephone_number": "818-606-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 WILSHIRE PL",
            "address_2": "#411",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053931",
            "telephone_number": "213-738-7077",
            "fax_number": "213-738-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "EUGENE",
        "middle_name": "JONGIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL INSURANCE",
            "identifier": "61943",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONG",
            "last_name": "LIM",
            "middle_name": "IN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dominik Daniel Lim
• Doo Taek Lim, OMD
• Dorothy April Lim
• Emmanuel R Lim, M.D.
• Erica Lim
• Eun Joo Lim, LAC
• Freddy Lim, M.D
• George Lim, M.D.
• George D. Lim, D.M.D.
• Hae Young Lim, R.PH

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.