Healthcare Provider Details

I. General information

NPI: 1437396546
Provider Name (Legal Business Name): JENNY HANCHING LIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2009
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH ST FL 4
SAN FRANCISCO CA
94158-2604
US

IV. Provider business mailing address

4109 ADDISON CT
LAFAYETTE HILL PA
19444-1443
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7337
  • Fax:
Mailing address:
  • Phone: 443-938-0894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberMD457595
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberC201045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: