Lim Family Medical Corporation | |
638 Webster St 450 Oakland CA 94607-4168 | |
(510) 832-8819 | |
(510) 835-4051 |
Full Name | Lim Family Medical Corporation |
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Speciality | Family Medicine |
Location | 638 Webster St, Oakland, California |
Authorized Official Name and Position | Mabel Audrey Lim (OWNER) |
Authorized Official Contact | 5108328819 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lim Family Medical Corporation 638 Webster St 450 Oakland CA 94607-4168 Ph: (510) 832-8819 | Lim Family Medical Corporation 638 Webster St 450 Oakland CA 94607-4168 Ph: (510) 832-8819 |
NPI Number | 1831362797 |
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Provider Enumeration Date | 04/10/2008 |
Last Update Date | 04/03/2024 |
Medicare PECOS PAC ID | 2961761192 |
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Medicare Enrollment ID | O20180117000004 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831362797 | NPI | - | NPPES |
00A480960 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A48096 (California) | Primary |
Provider Name | Mabel Audrey Lim |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336292994 PECOS PAC ID: 9436317286 Enrollment ID: I20120224000118 |
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