Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Seowon Lim

Individual provider Family Nurse Practitioner · NPI 1225894116

Seowon Lim is a Nurse Practitioner in Cerritos, California. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2024

Practice location Address checks out

12506 S St
Cerritos, CA 90703-7134
Phone: (562) 809-0142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95027817 (CA)

Record details

NPI number1225894116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 27, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address5300 Fairview Ave, Buena Park, CA 90621-1433

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Cerritos