Charles K Lim, MD | |
1150 Veterans Blvd, Redwood City, CA 94063-2037 | |
(650) 299-2000 | |
Not Available |
Full Name | Charles K Lim |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1150 Veterans Blvd, Redwood City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235217886 | NPI | - | NPPES |
00A783130 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | A78313 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Charles K Lim, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Charles K Lim, MD 1150 Veterans Blvd, Redwood City, CA 94063-2037 Ph: (650) 299-2000 |
Gannon Daniel Kennedy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arguello St Ste 100, Redwood City, CA 94063 Phone: 650-995-1285 Fax: 650-995-1208 | |
Forrest Loyd Anderson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 450 Broadway St, Mc 6342, Department Of Orthopedic Surgery, Redwood City, CA 94063 Phone: 650-721-7618 | |
David M. Bradley, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Jonathan Lam, M.D., PH.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1400 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2160 | |
Terry B. Lowry, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Deepak Varun Chona, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 450 Broadway St, M/c 6342, Redwood City, CA 94063 Phone: 650-721-7669 |