Healthcare Provider Details

I. General information

NPI: 1922427020
Provider Name (Legal Business Name): ALICE LIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YEA WEN LIN

II. Dates (important events)

Enumeration Date: 04/16/2014
Last Update Date: 01/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W PUEBLO ST
SANTA BARBARA CA
93105-4353
US

IV. Provider business mailing address

400 W PUEBLO ST
SANTA BARBARA CA
93105-4353
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-7111
  • Fax:
Mailing address:
  • Phone: 805-682-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberUO4154
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number14854
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: