Doo Taek Lim
Restricted
Doo Taek Lim is subject to Restricted. See the individual lists below.
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Address
1234 South Western Avenue, Los Angeles, CA, 90006
ID Details
ID NUMBER : 2189
ID TYPE : license_number
ID NUMBER : 1649338195AC0021890
ID TYPE : provider_number
View Notes
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Doo Taek Lim Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The California Department of Health Care Services | Nov 14, 2014 | active |
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