Dr Jennifer Siao Lim, MD | |
15206 Parthenia St, North Hills, CA 91343-5305 | |
(818) 895-3100 | |
Not Available |
Full Name | Dr Jennifer Siao Lim |
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Gender | Female |
Speciality | Family Medicine |
Location | 15206 Parthenia St, North Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528288990 | NPI | - | NPPES |
104100748 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 4301063957 (Michigan) | Primary |
207Q00000X | Family Medicine | A63309 (California) | Secondary |
Entity Name | Mission City Community Network, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
Mailing Address | Practice Location Address |
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Dr Jennifer Siao Lim, MD 13437 Glenwood Dr, Sylmar, CA 91342-5658 Ph: (818) 362-3739 | Dr Jennifer Siao Lim, MD 15206 Parthenia St, North Hills, CA 91343-5305 Ph: (818) 895-3100 |
Kyung Soo Yoo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15446 Parthenia St, North Hills, CA 91343 Phone: 818-891-1616 Fax: 818-895-2706 | |
Robert C. Barton Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 16055 Acre St, North Hills, CA 91343 Phone: 818-968-2365 Fax: 661-222-2482 | |
Joy Marie Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15206 Parthenia St, North Hills, CA 91343 Phone: 818-895-3100 Fax: 818-893-9464 | |
Eshagh Ezra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15424 Nordhoff St, Suite B, North Hills, CA 91343 Phone: 818-891-5500 Fax: 818-891-5505 |