| Concepcion And Lim Md Family Practice Pc | |
|
1646 Broadway St Vallejo CA 94590-2405 | |
| (707) 645-8576 | |
| Not Available |
| Full Name | Concepcion And Lim Md Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1646 Broadway St, Vallejo, California |
| Authorized Official Name and Position | Cynthia Lim (OWNER) |
| Authorized Official Contact | 7076458576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concepcion And Lim Md Family Practice Pc 1646 Broadway St Vallejo CA 94590-2405 Ph: () - | Concepcion And Lim Md Family Practice Pc 1646 Broadway St Vallejo CA 94590-2405 Ph: (707) 645-8576 |
| NPI Number | 1396801742 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234238288 |
|---|---|
| Medicare Enrollment ID | O20070615000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396801742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cynthia C Lim |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093730301 PECOS PAC ID: 0143329193 Enrollment ID: I20070615000649 |
| Provider Name | Steve Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174548481 PECOS PAC ID: 1052410008 Enrollment ID: I20091030000311 |
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