Organization Active NPI

Philip P. Lim, M.D. Inc.

  • Internal Medicine Physician
  • Bellflower, CA
National Provider Identifier
1750499877
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A45973 Issued in CA
Legal business name
PHILIP P. LIM, M.D. INC.
Practice address
9604 Artesia Blvd Ste 101
Bellflower, CA 90706-8040
Phone
(562) 804-6661
Fax
(562) 804-6665
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Philip P Lim, M.D.NPI 1235239302
Title
Owner
Phone
(562) 804-6661

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A45973 CA Primary

Addresses

Primary practice location

9604 Artesia Blvd Ste 101
Bellflower, CA 90706-8040

Mailing address

9604 Artesia Blvd Ste 101
Bellflower, CA 90706-8040
Phone (562) 804-6661

Other identifiers 1

IdentifierTypeStateIssuer
00A459730MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100219000426 CA Part B Supplier - Clinic/Group Practice 5193869741 Receives reassigned benefits from 1 practitioner
Practice locations: Bellflower, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750499877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 ARTESIA BLVD STE 101",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068040",
            "telephone_number": "562-804-6661",
            "fax_number": "562-804-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9604 ARTESIA BLVD STE 101",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068040",
            "telephone_number": "562-804-6661",
            "fax_number": "562-804-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP P. LIM, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-804-6661",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A459730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.