MEDICARE: DR. IRENE M LIN-DILORINZO O.D.

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	152W00000X	Optometrist	9909T	CA

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

General Provider Information

NPI Number	:	1649234154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRENE M LIN-DILORINZO O.D.

Provider Business Mailing Address
First Line	:	32932 PACIFIC COAST HWY
Second Line	:	STE 13
City	:	DANA POINT
State	:	CA
Zip	:	92629-3467
Country	:	US
Telephone Number	:	949-487-3937
Fax Number	:	949-487-3913

Provider Business Practice Location Address
First Line	:	32932 PACIFIC COAST HWY
Second Line	:	STE 13
City	:	DANA POINT
State	:	CA
Zip	:	92629-3467
Country	:	US
Telephone Number	:	949-487-3937
Fax Number	:	949-487-3913

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

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	05/26/2016

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