Healthcare Provider Details

I. General information

NPI: 1730209875
Provider Name (Legal Business Name): NEURO INDUSTRIAL MEDICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 N GARFIELD AVE SUITE 302
MONTEREY PARK CA
91754-1700
US

IV. Provider business mailing address

223 N GARFIELD AVE SUITE 302
MONTEREY PARK CA
91754-1700
US

V. Phone/Fax

Practice location:
  • Phone: 626-288-0888
  • Fax: 626-572-4888
Mailing address:
  • Phone: 626-288-0888
  • Fax: 626-572-4888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK P LIN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 626-288-0888