Eduardo O Lim Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A49674 Issued in CA

Legal business name

EDUARDO O LIM MEDICAL CORPORATION

Practice address

201 S Alvarado St
Suite 505
Los Angeles, CA 90057-2320

Phone

(213) 484-0146

Fax

(213) 483-3032

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo Ong Lim, M.D.

Title

President

Phone

(213) 484-0146

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1508052341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26807",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900260807",
            "telephone_number": "213-484-0146",
            "fax_number": "213-483-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "SUITE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-484-0146",
            "fax_number": "213-483-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO O LIM MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "ONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-484-0146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A49674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A496740",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A496741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingrid Edshteyn, D.O.
• Rachel Madrid Edu, RN
• Eduard Avetisyan DDS PC
• Eduard Dudukgian M.D., a Professional Co
• Eduard Minas MD Inc
• Moses O Edun
• Joy L Edvalson, NP
• Wojciech Jan Edwarczyk
• Edward a Alexander ,MD
• Edward a Gabriel MD, Inc

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.