Dr. Derrick G. Lim

LBN: Dr. Derrick G. Lim
Dr. Derrick G. Lim is an health care organization with primary practice located at 5657 Atlantic Ave , Long Beach CA 90805-4710. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr. Derrick G. Lim can be contacted via phone (562) 422-3378, or through Lim, Derrick Guy via phone (562) 422-3378.

Contact Information

Primary practice address
5657 Atlantic Ave Long Beach CA 90805-4710
Phone: (562) 422-3378
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lim, Derrick Guy
Phone: (562) 422-3378

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10509T California

Profile Details

NPI number 1700819505
LBN Legal business name Dr. Derrick G. Lim
DBA Doing business as
Authorized official Lim, Derrick Guy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Mar 17th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700819505 NPPES
California MEDICAID SD0105091

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