Healthcare Provider Details

I. General information

NPI: 1407606635
Provider Name (Legal Business Name): EDLIN HEALTH & COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2024
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 S AZUSA AVE
HACIENDA HEIGHTS CA
91745-3832
US

IV. Provider business mailing address

1617 S AZUSA AVE
HACIENDA HEIGHTS CA
91745-3832
US

V. Phone/Fax

Practice location:
  • Phone: 626-913-2383
  • Fax: 626-913-2013
Mailing address:
  • Phone: 626-913-2383
  • Fax: 626-913-2013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD LIN
Title or Position: CEO
Credential: DO
Phone: 310-483-3887