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Contact Information

MARISELA M LIMA, MMS, PA-C
7600 OLD DOMINION CT
APTOS, CA95003
 Phone: 831-458-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARISELA M LIMA · (Female)

NPI # 1770951113
Status Active
Credentials MMS, PA-C
Entity Individual
Enumeration date 09/02/2015
Last updated 01/06/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 52495
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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