Active NPI
Holly Lim, M.D.
- Pediatrics Physician
- West Covina, CA
National Provider Identifier
1447273149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C43072
- Practice address
- 1300 S Sunset Ave
West Covina, CA 91790-3342 - Phone
- (626) 338-9915
- Fax
- (626) 338-5756
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C43072 | CA | Primary |
Addresses
Primary practice location
1300 S Sunset Ave
West Covina, CA 91790-3342
Mailing address
1300 S Sunset Ave
West Covina, CA 91790-3342
Phone (626) 338-9915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C430720 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C43072 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447273149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S SUNSET AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903342",
"telephone_number": "626-338-9915",
"fax_number": "626-338-5756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S SUNSET AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903342",
"telephone_number": "626-338-9915",
"fax_number": "626-338-5756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "HOLLY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C43072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C430720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.