Basic Information
| Provider Information | |||||||||
| NPI: | 1275147233 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIM | ||||||||
| FirstName: | ZACHARY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MB, BCH, BAO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 525 NELSON RISING LANE | ||||||||
| Address2: | APT 504 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6475284908 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2550 23RD ST BLDG 92ND | ||||||||
| Address2: | |||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941103504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6282068812 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2020 | ||||||||
| LastUpdateDate: | 09/21/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0801X | 170079 | CA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Orthopaedic Trauma |
No ID Information.