Healthcare Provider Details

I. General information

NPI: 1548646011
Provider Name (Legal Business Name): BRUCE HORNG J LIN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2015
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E ROMIE LN
SALINAS CA
93901-4029
US

IV. Provider business mailing address

1095 HIAWATHA CT
FREMONT CA
94539-6957
US

V. Phone/Fax

Practice location:
  • Phone: 831-759-3257
  • Fax:
Mailing address:
  • Phone: 831-747-7142
  • Fax: 510-275-1169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HORNG BRUCE J. LIN
Title or Position: PRESIDENT AND MEDICAL DIRECTOR
Credential: MD
Phone: 510-399-3995