Lim, Derrick Guy

Lim, Derrick Guy is an individual health care provider with primary practice located at 5649 Atlantic Ave , Long Beach CA 90805-4710. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lim, Derrick Guy can be contacted via phone (562) 422-3378.

Contact Information

Primary practice address
5649 Atlantic Ave Long Beach CA 90805-4710
Phone: (562) 422-3378
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1073504262
LBN Legal business name Lim, Derrick Guy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Sep 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073504262 NPPES
California MEDICAID SD0105090

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