Healthcare Provider Details

I. General information

NPI: 1639064850
Provider Name (Legal Business Name): KYAW LIN, DO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 YGNACIO VALLEY RD STE A102
WALNUT CREEK CA
94596-3882
US

IV. Provider business mailing address

52 GOLF CLUB RD # 154
PLEASANT HILL CA
94523-1524
US

V. Phone/Fax

Practice location:
  • Phone: 925-938-5252
  • Fax:
Mailing address:
  • Phone: 925-451-4688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KYAW Z LIN
Title or Position: PRESIDENT
Credential: DO
Phone: 925-451-4688