Healthcare Provider Details

I. General information

NPI: 1821016452
Provider Name (Legal Business Name): FRANK P LIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/14/2019
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: 626-572-8601
  • Fax: 626-572-4888
Mailing address:
  • Phone: 626-572-8601
  • Fax: 626-572-4888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA78083
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberA78083
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA78083
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: