| Dr Jungjae Lim, MD | |
|
10700 Balboa Blvd, Granada Hills, CA 91344 | |
| (818) 366-6550 | |
| (818) 366-6555 |
| Full Name | Dr Jungjae Lim |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 10 Years |
| Location | 10700 Balboa Blvd, Granada Hills, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689029563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A160584 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cedar-sinai Marina Del Rey Hospital | Marina del rey, CA | Hospital |
| Entity Name | Phyzmed Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609121961 PECOS PAC ID: 0749439131 Enrollment ID: O20120928000229 |
| Entity Name | Source Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1558802249 PECOS PAC ID: 7810274164 Enrollment ID: O20170515002002 |
| Entity Name | West Coast Health And Rehab Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043743891 PECOS PAC ID: 8325315609 Enrollment ID: O20170517002654 |
| Entity Name | Jungjae Lim Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275261067 PECOS PAC ID: 2466895008 Enrollment ID: O20240209003281 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jungjae Lim, MD 10700 Balboa Blvd, Granada Hills, CA 91344 Ph: (818) 826-4145 | Dr Jungjae Lim, MD 10700 Balboa Blvd, Granada Hills, CA 91344 Ph: (818) 366-6550 |
Joanna Helbig, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10605 Balboa Blvd Ste 330, Granada Hills, CA 91344 Phone: 818-832-7200 | |
Prof. Danthea Mae Palmares, RPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10515 Balboa Blvd Ste 140, Granada Hills, CA 91344 Phone: 818-363-3000 Fax: 818-363-3099 |