Healthcare Provider Details
I. General information
NPI: 1508957010
Provider Name (Legal Business Name): ERIC I-HUNG LIN D O INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2006
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3220 SEPULVEDA BLVD SUITE 200
TORRANCE CA
90505-8161
US
IV. Provider business mailing address
PO BOX 2525
PALOS VERDES PENINSULA CA
90274-8525
US
V. Phone/Fax
- Phone: 310-325-8588
- Fax: 310-668-7268
- Phone: 310-938-8303
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 204D00000X |
| Taxonomy | Neuromusculoskeletal Medicine & OMM Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIC
I-HUNG
LIN
Title or Position: PRESIDENT
Credential: D.O.
Phone: 310-325-8588