Healthcare Provider Details

I. General information

NPI: 1780328203
Provider Name (Legal Business Name): JOHN NONE LIN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2182 EAST ST
CONCORD CA
94520-2012
US

IV. Provider business mailing address

2182 EAST ST
CONCORD CA
94520-2012
US

V. Phone/Fax

Practice location:
  • Phone: 925-310-8978
  • Fax: 925-310-8978
Mailing address:
  • Phone: 925-310-8978
  • Fax: 925-310-8978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number20A25418
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: