Provider Demographics
NPI:1427130723
Name:LIM, ERIC GEORGE (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:GEORGE
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1580 VALENCIA ST
Mailing Address - Street 2:STE NO 111
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-4423
Mailing Address - Country:US
Mailing Address - Phone:415-643-6557
Mailing Address - Fax:415-643-3864
Practice Address - Street 1:1580 VALENCIA ST
Practice Address - Street 2:STE NO 111
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-4423
Practice Address - Country:US
Practice Address - Phone:415-643-6557
Practice Address - Fax:415-643-3864
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2009-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG81428207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00G814280OtherBLUE SHIELD OF CALIF
CA00G814281OtherMEDI-CAL
943274713OtherBLUE SHIELD OF CALIFORNIA
CA5422000G814280OtherBLUE SHIELD
5422000G814280OtherBLUE SHIELD OF CALIFORNIA
943274713OtherAETNA
IL943274713TOtherBLUE CROSS
CA00G814280OtherBLUE SHIELD
CA00G814281OtherHPSM
943274713OtherGENERAL EMPLOYEES TRUST F
943274713OtherBLUE SHIELD OF CALIF
943274713OtherUNITED HEALTH CARE
CA00G14281Medicaid
00G814280OtherBLUE SHIELD
CA00G814280Medicaid
571521OtherCHINESE COMM HLTH PLAN
CA943274713OtherBLUE CROSS
943274713OtherUNITED HEALTH CARE