Hyun Sook Lim, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55187 Issued in CA

Practice address

5161 Pomona Blvd Ste 112
Los Angeles, CA 90022-1772

Phone

(323) 262-2600

Fax

(323) 262-2601

NPI assigned

Apr 14, 2007

Last updated

Oct 3, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Ocean Dental Group,Hyun Sook Lim Dental Corporation

  dba Pacific Ocean Dental Group

  • Dentist
  • Los Angeles, CA
  • NPI 1154758258
  NPD (past) Authorized official

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1629293865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 POMONA BLVD STE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221772",
            "telephone_number": "323-262-2600",
            "fax_number": "323-262-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 POMONA BLVD STE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221772",
            "telephone_number": "323-262-2600",
            "fax_number": "323-262-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "HYUN SOOK",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George D. Lim, D.M.D.
• Hae Young Lim, R.PH
• Hagseob Lim
• Hye Kyoung Lim, FNP-C
• Hyo Joo Lim, FNP-C
• Injung Lim, DPT
• Irene Lim, LCSW
• James Jong Soo Lim, PHARMD
• Jane Lim
• Jeffrey Ghinoh Lim, SUPPORT SPECIALIST

• 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 Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.