NPIMap

Organization Active NPI

George D. Lim, DMD, Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1558455998
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43190 Issued in CA
Legal business name
GEORGE D. LIM, DMD, INC.
Practice address
11725 W Washington Blvd
Los Angeles, CA 90066-5917
Phone
(310) 391-7173
Fax
(310) 391-7166
NPI assigned
Oct 2, 2006
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
GEORGE D. LIM, DMD, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Dr. George D. LimNPI 1053526129
Title
President
Phone
(310) 391-7173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43190 CA Primary

Addresses

Primary practice location

11725 W Washington Blvd
Los Angeles, CA 90066-5917

Mailing address

11725 W Washington Blvd
Los Angeles, CA 90066-5917
Phone (310) 391-7173

National Provider Directory

National Provider Directory
Tax ID family
George D Lim DMD Inc2 organizations share this tax ID, including this one
Part of
George D Lim DMD Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11725 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 391-7173

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1558455998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665917",
            "telephone_number": "310-391-7173",
            "fax_number": "310-391-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665917",
            "telephone_number": "310-391-7173",
            "fax_number": "310-391-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE D. LIM, DMD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGE D. LIM, DMD, INC.",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-391-7173",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.