Jungjae Lim Medical Corporation

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

JUNGJAE LIM MEDICAL CORPORATION

Doing business as

Modern Pain Solutions

Practice address

10700 Balboa Blvd Ste 102
Granada Hills, CA 91344-5024

Phone

(818) 826-4145

Fax

(818) 338-2807

NPI assigned

Aug 10, 2022

Last updated

Dec 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jungjae Lim, MDNPI 1689029563

Title

MD

Phone

(818) 826-4145

Specialties & licenses 1

Addresses

Other names 1

• Modern Pain Solutions Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jungjae Lim, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Granada Hills, CA
  • NPI 1689029563
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1275261067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 BALBOA BLVD STE 102",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445024",
            "telephone_number": "818-826-4145",
            "fax_number": "818-338-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 BALBOA BLVD STE 102",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445024",
            "telephone_number": "818-826-4145",
            "fax_number": "818-338-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNGJAE LIM MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "JUNGJAE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "818-826-4145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.modernpainsolutions.com/",
            "affiliation": "N",
            "address_1": "10700 Balboa Blvd Ste 102",
            "city": "Granada Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913445024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Modern Pain Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denee Lynn Jordan, PSYD
• JPM Elite Medical Clinic Inc
• Daniela Isabella Juarez
• Daee Jung
• Edward Jung, DC
• Saif Kabir, M. S. , CCC- A.
• Sofia Michelle Kachani
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Valleys Continuing Care - Hospice)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Valleys Continuing Care - HHA)
• Narineh Kamali

• Pain Clinic/Center in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.