Joanna Christine Lim, MD | |
2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 | |
(909) 724-5000 | |
Not Available |
Full Name | Joanna Christine Lim |
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Gender | Female |
Speciality | Surgery |
Location | 2295 S Vineyard Ave Bldg D, Ontario, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851612675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A119225 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Joanna Christine Lim, MD 2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 Ph: (909) 724-5000 | Joanna Christine Lim, MD 2295 S Vineyard Ave Bldg D, Ontario, CA 91761-7925 Ph: (909) 724-5000 |
Edwin Nathaniel Kendrick Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3200 Inland Empire Blvd Ste 275, Ontario, CA 91764 Phone: 626-623-6040 Fax: 909-366-5940 | |
Sunal Patel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 909-724-3223 | |
Stewart E Rendon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 754 N Mountain Ave, Ontario, CA 91762 Phone: 909-460-4155 Fax: 909-988-4414 |