Michael Lim, PT | |
6245 Kester Ave Apt 10, Van Nuys, CA 91411-2116 | |
(323) 899-2889 | |
Not Available |
Full Name | Michael Lim |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6245 Kester Ave Apt 10, Van Nuys, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932641735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT28215 (California) | Primary |
Provider Name | Sand Coast Rehab Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
Mailing Address | Practice Location Address |
---|---|
Michael Lim, PT 6245 Kester Ave Apt 10, Van Nuys, CA 91411-2116 Ph: (323) 899-2889 | Michael Lim, PT 6245 Kester Ave Apt 10, Van Nuys, CA 91411-2116 Ph: (323) 899-2889 |
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