Lim, Mabel Audrey

Lim, Mabel Audrey is an sole proprietor health care provider with primary practice located at 638 Webster St # 450 , Oakland CA 94607-4168. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Lim, Mabel Audrey can be contacted via phone (510) 832-8819.

Contact Information

Primary practice address
638 Webster St # 450 Oakland CA 94607-4168
Phone: (510) 832-8819
Fax: (510) 835-4051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A48096 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A48096 California

Profile Details

NPI number 1336292994
LBN Legal business name Lim, Mabel Audrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Apr 3rd, 2024 - about 2 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 1336292994 NPPES
California MEDICAID 00A480960

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