MEDICARE: DR. ALVIN B LIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	8206	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	CS08928	OTHER	NV	PHARMACY LICENSE
4	8206	OTHER	NV	NEVADA LICENSE

General Provider Information

NPI Number	:	1235170820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALVIN B LIN MD

Provider Business Mailing Address
First Line	:	5564 S. FORT APACHE ROAD #120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148
Country	:	US
Telephone Number	:	702-671-2355
Fax Number	:	888-505-7769

Provider Business Practice Location Address
First Line	:	5564 S FORT APACHE RD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-3601
Country	:	US
Telephone Number	:	702-807-4181
Fax Number	:	888-505-7769

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/07/2023

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