Provider Demographics
NPI:1548343478
Name:LIM, JOSEPHINE JABAY (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:JABAY
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10737 CAMINO RUIZ
Mailing Address - Street 2:SUITE 235
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-2359
Mailing Address - Country:US
Mailing Address - Phone:858-578-4220
Mailing Address - Fax:858-578-4417
Practice Address - Street 1:10737 CAMINO RUIZ
Practice Address - Street 2:SUITE 235
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-2359
Practice Address - Country:US
Practice Address - Phone:858-578-4220
Practice Address - Fax:858-578-4417
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA048197208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics