Active NPI
Miyoung Lim
- Registered Nurse
- La Canada, CA
National Provider Identifier
1841692407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 620860
- Practice address
- 4936 Angeles Crest Hwy
La Canada, CA 91011-2314 - Phone
- (213) 446-3046
- Fax
- (818) 864-6021
- NPI assigned
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 620860 | CA | Primary |
Addresses
Primary practice location
4936 Angeles Crest Hwy
La Canada, CA 91011-2314
Mailing address
4936 Angeles Crest Hwy
La Canada, CA 91011-2314
Phone (213) 446-3046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 620860 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1841692407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4936 ANGELES CREST HWY",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910112314",
"telephone_number": "213-446-3046",
"fax_number": "818-864-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4936 ANGELES CREST HWY",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910112314",
"telephone_number": "213-446-3046",
"fax_number": "818-864-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "MIYOUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-25",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN 620860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Canada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.