Healthcare Provider Details

I. General information

NPI: 1265403802
Provider Name (Legal Business Name): VICTOR LIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 05/16/2024
Certification Date: 08/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 ARLINGTON BLVD
FALLS CHURCH VA
22042-2929
US

IV. Provider business mailing address

7700 ARLINGTON BLVD
FALLS CHURCH VA
22042-2929
US

V. Phone/Fax

Practice location:
  • Phone: 703-681-7349
  • Fax:
Mailing address:
  • Phone: 703-681-7349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA90477
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: