| NPI | 1083989529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS D LIM Provider 213-483-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E4612) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2019-12-23 |