George D. Lim DMD Inc-Hollywood

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43190 Issued in CA

Legal business name

GEORGE D. LIM DMD INC-HOLLYWOOD

Practice address

1551 N Vermont Ave
Los Angeles, CA 90027-5330

Phone

(323) 953-0505

NPI assigned

Jun 25, 2007

Organization subpart

Yes

Parent organization

GEORGE D. LIM, DMD, INC.As reported in NPPES

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

Authorized official

Name

Dr. George Dig Lim, DMD

Title

President

Phone

(323) 953-0505

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• George D Lim DMD Inc. Doing business as

Part of

George D Lim DMD Inc

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanna Lim Nwachokor, D.D.S.

  • Dentist
  • Los Angeles, CA
  • NPI 1669914420
  NPD
• Ryan Nasimi

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1538885488
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1497951750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275330",
            "telephone_number": "323-953-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275330",
            "telephone_number": "323-953-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE D. LIM DMD INC-HOLLYWOOD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGE D. LIM, DMD, INC.",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-953-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "G92264-03",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF CA",
            "identifier": "343190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George D Lim DMD Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Geonetta, CLES
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• George D Lim DMD Inc-Echo Park
• George D. Lim, DMD, Inc.
• George D. Lim, DMD, Inc.
• George Fouladian M.D. Inc. a California Professional Corporation
• George Fouladian MD Inc a California Professional Corp
• George Fouladian, M.D. Medical Group

• 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 Nov 2, 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.