Healthcare Provider Details

I. General information

NPI: 1508954017
Provider Name (Legal Business Name): FRANK LIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 FENTON ST STE 210
LIVERMORE CA
94550-4159
US

IV. Provider business mailing address

87 FENTON ST
LIVERMORE CA
94550-4100
US

V. Phone/Fax

Practice location:
  • Phone: 925-371-8885
  • Fax: 925-371-8884
Mailing address:
  • Phone: 925-371-8885
  • Fax: 925-371-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA85261
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: