Healthcare Provider Details

I. General information

NPI: 1497924377
Provider Name (Legal Business Name): NAOMI KIM LIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YEON WOO KIM M.D.

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 BALDWIN PARK BLVD
BALDWIN PARK CA
91706-5806
US

IV. Provider business mailing address

1011 BALDWIN PARK BLVD
BALDWIN PARK CA
91706-5806
US

V. Phone/Fax

Practice location:
  • Phone: 833-574-2273
  • Fax:
Mailing address:
  • Phone: 833-574-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA91445
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: