MEDICARE: DR. PO-JEN LIN D.D.S.

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	1223G0001X	General Practice Dentistry	38556	CA

General Provider Information

NPI Number	:	1265832968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PO-JEN LIN D.D.S.

Provider Business Mailing Address
First Line	:	1035 S DE ANZA BLVD
Second Line	:	SUITE 4
City	:	SAN JOSE
State	:	CA
Zip	:	95129-2772
Country	:	US
Telephone Number	:	408-252-4850
Fax Number	:	408-252-4339

Provider Business Practice Location Address
First Line	:	1035 S DE ANZA BLVD
Second Line	:	SUITE 4
City	:	SAN JOSE
State	:	CA
Zip	:	95129-2772
Country	:	US
Telephone Number	:	408-252-4850
Fax Number	:	408-252-4339

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

Provider Enumeration Date	:	08/29/2014
Last Update Date	:	07/15/2024

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1043364185 — DR. KELLY QUACH D.C.
Practice Location Address:

1035 S DE ANZA BLVD , STE 5
SAN JOSE, CA
95129-2772

Practice Phone: 408-873-7610
Practice Fax: 408-873-7135

1962539692 — DR. STEPHEN CHOY OD
Practice Location Address:

1035 S DE ANZA BLVD , SUITE ONE
SAN JOSE, CA
95129-2772

Practice Phone: 408-446-5533
Practice Fax:

1760507784 — DE ANZA VISION CENTER A PROFESSIONAL OPTOMETRIC CORP
Practice Location Address:

1035 S DE ANZA BLVD , SUITE ONE
SAN JOSE, CA
95129-2772

Practice Phone: 408-446-5533
Practice Fax:

1114335429 — STEPHANIE JOO O.D.
Practice Location Address:

1035 S DE ANZA BLVD STE 1
SAN JOSE, CA
95129-2772

Practice Phone: 408-446-5533
Practice Fax:

1124672399 — VIVIAN LOOK
Practice Location Address:

1035 S DE ANZA BLVD STE 1
SAN JOSE, CA
95129-2772

Practice Phone: 408-446-5533
Practice Fax:

Directions to “ DR. PO-JEN LIN D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.