Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 20A11297 | CA |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5101016843 | MI |
N | 207Q00000X | Family Doctor | 20A11297 | CA |
N | 207Q00000X | Family Doctor | 5101016843 | MI |
NPI | 1184842007 |
---|---|
Provider Name | Dr. Angela Wing-Chee Lim |
First Address | Sacramento, CA 95815-4601 |
Second Address | Sacramento, CA 95815-4601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 22/09/2021 |