Provider Demographics
NPI:1275244527
Name:LIM, SUN YOUNG (ASW)
Entity type:Individual
Prefix:
First Name:SUN YOUNG
Middle Name:
Last Name:LIM
Suffix:
Gender:
Credentials:ASW
Other - Prefix:
Other - First Name:SUNNY
Other - Middle Name:
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11947 VALLEY VIEW ST
Mailing Address - Street 2:# 5442
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92846
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3812 SEPULVEDA BLVD STE 460
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2486
Practice Address - Country:US
Practice Address - Phone:520-247-7406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105437104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker