Duck Lim MD, Medical Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

91298 Issued in CA

Legal business name

DUCK LIM MD, MEDICAL CORPORATION

Practice address

1350 S. Euclid Avenue
Ontario, CA 91786

Phone

(909) 391-4138

Fax

(909) 391-4395

NPI assigned

Jun 26, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Duck Lim, MD

Title

Medical Director

Phone

(909) 391-4138

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1639699101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S. EUCLID AVENUE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-391-4138",
            "fax_number": "909-391-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCK LIM MD, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "DUCK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-391-4138",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "91298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194818765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Duarte
• Vanessa Rose Duarte
• Yvonne Duarte
• Kennedy Janayu Castain Dubois
• Corina Dubon, RBT
• Aida Duenas
• Jennifer Duenas
• Sandra Duenas
• Christina Duerr
• McKenzie Duignan

• Clinic/Center in Ontario, CA
• Providers in Ontario, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.