Brandon Lim, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

50439 Issued in CA

Practice address

4452 Center St
Baldwin Park, CA 91706-2336

Phone

(626) 261-9720

NPI assigned

Jan 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1508406109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 CENTER ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 CENTER ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917062336",
            "telephone_number": "626-261-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "BRANDON",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L. Liang, MD
• Raymond W. Liang, MD
• Tzu Yi Liao
• Kiet Van Lieu, MD
• Emeline C. Lim-Gaw, MD
• Jamie Marie Cabrera Lim, PA-C
• Dolores C. Limtao, MD
• Christina Keng-Yi Lin, DPT
• Emmy Lin
• Linda I. Lin, DO

• Physical Therapy Assistant in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.