Young Sik Lim, DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

YOUNG SIK LIM, DDS, INC

Practice address

11481 Heacock St Ste 160
Moreno Valley, CA 92557-7906

Phone

(951) 242-5470

Fax

(951) 242-5470

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Young Sik LimNPI 1700269172

Title

President

Phone

(909) 654-1865

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Young Sik Lim, D.D.S.

  • Dentist
  • Loma Linda, CA
  • NPI 1700269172
  NPD Authorized official

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1649879636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 HEACOCK ST STE 160",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 HEACOCK ST STE 160",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577906",
            "telephone_number": "951-242-5470",
            "fax_number": "951-242-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG SIK LIM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "YOUNG SIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-654-1865",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yogendra B Patel,MD,Inc
• Shannon Yoo, DO
• Seongro Aaron Yoon, DDS
• Stanisha York, LPCC
• Vincent-Arthur Aruiza Yoro-Bacay, MD
• Modaniet Young, PHARM D
• Rochelle Amelia Young, RD.LDN
• Sharay Montgomery Young, PHARMD
• Santana Youssoffi, MD
• Rosalinda R Yparraguirre, RPH

• Dental Clinic/Center in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.