Provider Demographics
NPI:1093057499
Name:LIM, GRACE XIAO'EN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:GRACE
Middle Name:XIAO'EN
Last Name:LIM
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2672 BAYSHORE PKWY STE 608
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-1017
Mailing Address - Country:US
Mailing Address - Phone:754-702-7256
Mailing Address - Fax:844-204-0781
Practice Address - Street 1:2672 BAYSHORE PKWY STE 608
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-1017
Practice Address - Country:US
Practice Address - Phone:754-702-7256
Practice Address - Fax:844-204-0781
Is Sole Proprietor?:No
Enumeration Date:2013-03-23
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA143319208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics