Organization Active NPI

George D Lim DMD Inc-Echo Park

Doing business as George D Lim DMD Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1780880047
Registry record updated Nov 2, 2020
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-ECHO PARK
Doing business as
George D Lim DMD Inc.
Practice address
1569 W Sunset Blvd FL 2
Los Angeles, CA 90026-3333
Phone
(213) 481-0777
NPI assigned
Jun 25, 2007
Last updated
Nov 2, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
GEORGE D. LIM ,DMD, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Dr. George Dig Lim, DMD
Title
President
Phone
(310) 753-9391

Specialties & licenses 1

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

Addresses

Primary practice location

1569 W Sunset Blvd FL 2
Los Angeles, CA 90026-3333

Mailing address

1569 W Sunset Blvd FL 2
Los Angeles, CA 90026-3333
Phone (213) 481-0777

Other identifiers 2

IdentifierTypeStateIssuer
243190OtherCADELTA DENTAL OF CA
G92264-02OtherCADENTI-CAL PROVIDER NUMBER

Other names 1

  • George D Lim DMD Inc. Doing business as

National Provider Directory

National Provider Directory
Part of
George D Lim DMD Inc

Locations

1569 W Sunset Blvd
Fl 2
Los Angeles, CA 90026
Phone (213) 481-0777

Practitioners & affiliated clinicians

Practitioners 1

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1780880047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 W SUNSET BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263333",
            "telephone_number": "213-481-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 W SUNSET BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263333",
            "telephone_number": "213-481-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE D LIM DMD INC-ECHO PARK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGE D. LIM ,DMD, INC",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-753-9391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF CA",
            "identifier": "243190",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "G92264-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George D Lim DMD Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 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.