IMELDA LIM


Address: 5795 Radio Ct, San Diego, CA 92114-6572
Phone: 6199424360

IMELDA LIM (NPI# 1093130395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093130395
Entity Type Individual
Full Name IMELDA LIM
Practice Address 5795 Radio Ct
San Diego
CA 92114-6572
Mailing Address 2743 Highland Ave
National City
CA 91950-7410
Practice Telephone 6199424360
Mailing Telephone 8442002426
Enumeration Date 2014-02-23
Last Update Date 2017-04-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95000203 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5795 RADIO CT
City SAN DIEGO
State CA
Zip Code 92114-6572

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689280422 Jason Vince Rather Counselor 333 Ledgewood Lane, San Diego, San Diego, CA 92114 2020-09-17
1144882622 Melissa Ratsamy Peer Specialist 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 2019-07-03
1285113951 Janet Miller Prosthetist 6662 Charlene Ave, San Diego, CA 92114 2018-08-13
1568828671 Ceferina Pulgar Ruiz General Practice 6809 Freed Manor Lane, San Diego, CA 92114 2016-01-05
1275919227 Susan Reyes Registered Nurse 802a Cardiff Street, San Diego, CA 92114 2015-07-31
1760829097 Rea Ordono Porciuncula Registered Nurse 982 Worthington St., San Diego, CA 92114 2013-05-28
1912170176 Maxine Whitfield Specialist 5844 Mariposa Place, San Diego, CA 92114 2008-04-09
1124210844 Bahghi Russom Keflezighi Family Medicine 220 Euclid Avenue, Suite 40, San Diego, CA 92114 2007-08-16
1982701058 Mark Leroy Dimry Pharmacist 286 N Euclid Ave, Semca Pharmacy, San Diego, CA 92114 2006-09-20
1649241514 Wendy G Chacon Pediatrics 292 Euclid Avenue, #220, San Diego, CA 92114 2006-01-30
Find all providers in zip 92114

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710584008 Venessa Beck Nurse Practitioner 903 Cardiff St, San Diego, CA 92114-5019 2020-10-08
1386107712 Phillip Stephen Garibotto Nurse Practitioner 5090 Shoreham Pl Ste 209, San Diego, CA 92122-5935 2019-04-11
1013411016 Virginia Zebley Nurse Practitioner 32547 Naval Miramar Medical Branch Clinic, San Diego, CA 92134-0001 2018-03-23
1528476256 Julie Chrisco Nurse Practitioner 2365 Northside Dr, Suite 100, San Diego, CA 92108-2709 2014-07-25
1851505788 Kathleen Finnigan-ryan Nurse Practitioner 4777 Imperial Ave, Lhs Student Health Center, San Diego, CA 92113-2071 2007-05-10
1194323121 Ana Wong Pacis Nurse Practitioner 6991 Balboa Ave, San Diego, CA 92111-3447 2020-10-12
1184263733 Adenike Awolola Nurse Practitioner 200 W Arbor Dr, San Diego, CA 92103-9000 2019-12-31
1275019150 Stephanie Scirocco Nurse Practitioner 7565 Mission Valley Rd, San Diego, CA 92108 2018-07-13
1699263269 Lysianne Van Pham Nurse Practitioner 200 W Arbor Dr, San Diego, CA 92103-9000 2018-04-28
1528578713 Leslie Nobuko Gomez Nurse Practitioner 200 W Arbor Dr, San Diego, CA 92103-9000 2017-10-03
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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