DR. SOO HYUN LIM (NPI# 1477766756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477766756 |
| Entity Type | Individual |
| Full Name | DR. SOO HYUN LIM |
| Credential | D.M.D |
| Practice Address |
4631 Hillard Ave La Canada CA 91011-2004 |
| Practice Telephone | 9175821707 |
| Mailing Telephone | 9175821707 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2015-11-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
60072 | CA | Dental Providers |
| Street Address |
4631 HILLARD AVE |
| City | LA CANADA |
| State | CA |
| Zip Code | 91011-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720528466 | Gina Lynn Horton | Acupuncturist | 890-b Town Center Drive, La Canada, CA 91011 | 2017-02-28 |
| 1215381777 | Richard Alan Compton | Family Medicine | 1109 Foothill Blvd, La Canada, CA 91011 | 2016-04-20 |
| 1073865390 | Drs. Ho Dental Partnership | Dentist | 400 Foothill Blvd., La Canada, CA 91011 | 2012-10-10 |
| 1477803369 | Amanda Ghattas | Student in an Organized Health Care Education/Training Program | 1323 Verdugo Blvd, La Canada Flintridge, CA 91011 | 2012-09-18 |
| 1992053441 | Ronald Leonard Polito | Internal Medicine | 4381 Shepherds Lane, La Canada, CA 91011 | 2012-08-15 |
| 1699089508 | Talha Khawar | Internal Medicine | 1975 Verdugo Blvd, La Canada, CA 91011 | 2010-08-03 |
| 1396999728 | Lester Baker Jr. | Family Medicine | 4404 Chevy Chase Dr., La Canada, CA 91011 | 2008-11-12 |
| 1306098280 | Vicky W Ling | Pharmacist | 523 Foothill Blvd., La Canada, CA 91011 | 2008-10-22 |
| 1770799850 | Gary Lynn Coleman | Marriage & Family Therapist | 1313 Foothill Bl., Suite 9, La Canada, CA 91011 | 2007-05-15 |
| 1881815884 | Sharon Elaine Milan | Marriage & Family Therapist | 1313 Foothill Boulevard, Suite 3, La Canada Flintridge, CA 91011 | 2007-05-01 |
| Find all providers in zip 91011 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003922956 | Keith Evan Serxner | Dentist | 747 Foothill Blvd, La Canada, CA 91011-3438 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
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| 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.