| Lim L Taw Medical Corp. | |
|
222 W Eulalia St Suite 311 Glendale CA 91204-2849 | |
| (818) 241-2106 | |
| (818) 241-8730 |
| Full Name | Lim L Taw Medical Corp. |
|---|---|
| Speciality | Internal Medicine |
| Location | 222 W Eulalia St, Glendale, California |
| Authorized Official Name and Position | Lim L Taw (PRESIDENT) |
| Authorized Official Contact | 8182412106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lim L Taw Medical Corp. 222 W Eulalia St Suite 311 Glendale CA 91204-2849 Ph: (818) 241-2106 | Lim L Taw Medical Corp. 222 W Eulalia St Suite 311 Glendale CA 91204-2849 Ph: (818) 241-2106 |
| NPI Number | 1780670976 |
|---|---|
| Provider Enumeration Date | 09/22/2005 |
| Last Update Date | 12/01/2014 |
| Medicare PECOS PAC ID | 4880784289 |
|---|---|
| Medicare Enrollment ID | O20071222000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780670976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A30992 (California) | Primary |
| Provider Name | Lim L Taw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720205008 PECOS PAC ID: 2163512567 Enrollment ID: I20071222000037 |
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