Provider Demographics
NPI:1992725626
Name:LIMON, JOSE M (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:M
Last Name:LIMON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:264 N HIGHLAND SPRINGS AVE
Mailing Address - Street 2:SUITE 3D
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-3082
Mailing Address - Country:US
Mailing Address - Phone:951-845-6993
Mailing Address - Fax:951-845-3091
Practice Address - Street 1:264 N HIGHLAND SPRINGS AVE
Practice Address - Street 2:SUITE 3D
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-3082
Practice Address - Country:US
Practice Address - Phone:951-845-6993
Practice Address - Fax:951-845-3091
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-12-15
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Provider Licenses
StateLicense IDTaxonomies
CAA45442207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A454420Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER