MR. KIRTNEY SO LIM (NPI# 1396213971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396213971 |
| Entity Type | Individual |
| Full Name | MR. KIRTNEY SO LIM |
| Credential | IDC |
| Practice Address |
62 Area San Mateo Naval Clinic Camp Pendleton CA 92672 |
| Mailing Address |
34101 Farenholt Ave San Diego CA 92134-7000 |
| Practice Telephone | 6196424871 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
62 AREA SAN MATEO NAVAL CLINIC |
| City | CAMP PENDLETON |
| State | CA |
| Zip Code | 92672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| 1477742971 | At Home Living Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 927 Rio Lindo, San Clemente, CA 92672 | 2007-10-20 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879537 | David Michael Soliani | Military Health Care Provider | Bld 4101 Stuart Mesa Road, Camp Pendleton, CA 92055-5584 | 2020-10-21 |
| 1083237549 | Gavino Martin Lopez | Military Health Care Provider | 1st Marine Raider Battalion Medical, 555341, Camp Pendleton, CA 92055-5341 | 2020-05-19 |
| 1902432750 | Patrick Joseph Oshaughnessy | Military Health Care Provider | 4100377, West Marsoc Rd, Camp Pendleton, CA 92055 | 2020-03-12 |
| 1710519368 | Wayne Oliver Jaworski | Military Health Care Provider | 1st Recon Bn, Bas, 555584, Camp Pendleton, AP 92055 | 2020-02-11 |
| 1215572797 | Thomas Raphael Rojas | Military Health Care Provider | 1st Mrb, Camp Pendleton, CA 92055-5341 | 2019-11-08 |
| 1205487212 | Daniel Grant Redifer | Military Health Care Provider | 1mrb 555341, Camp Pendleton, CA 92055 | 2019-09-23 |
| 1467012294 | Jonathan Eric Heyler | Military Health Care Provider | 1st Reconnaissance Bn, Camp Pendleton, CA 92055-5584 | 2019-06-14 |
| 1700356938 | Michael Francom | Military Health Care Provider | 4100377 West Marsoc Road, Camp Pendleton, CA 92055 | 2018-11-30 |
| 1396254116 | John Edward Bohan IIi | Military Health Care Provider | 21 Area Del Mar Clinic, Nhcp Box 555191, Camp Pendleton, CA 92055 | 2017-09-25 |
| 1114441433 | Nicholas Charles Perez | Military Health Care Provider | Combat Logistics Battalion-13, Po Box 555707, Camp Pendleton, CA 92055 | 2017-07-28 |
| Find all providers in CAMP PENDLETON | ||||
| City | CAMP PENDLETON |
| Zip Code | 92672 |
Please comment or provide details below to improve the information on MR. KIRTNEY SO LIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.