Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A149921 | CA |
Y | 2080P0214X | Pediatric Pulmonologist | A149921 | CA |
NPI | 1245624691 |
---|---|
Provider Name | Janet Trang Lim |
First Address | San Francisco, CA 94143-2549 |
Second Address | San Francisco, CA 94143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 29/07/2021 |