{
"Npi": {
"NPI": "1144418773",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "GENE J. LIN, M.D., INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 2215",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RANCHO SANTA FE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92067-2215",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "562-298-6214",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "15141 WHITTIER BLVD",
"SecondLinePracticeLocationAddress": "SUITE 220",
"PracticeLocationAddressCityName": "WHITTIER",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90603-2135",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "562-696-1159",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/09/2007",
"LastUpdateDate": "03/22/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LIN",
"AuthorizedOfficialFirstName": "GENE",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PHYSICIAN/PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "562-696-1159",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207N00000X",
"TaxonomyName": "Dermatology Physician",
"LicenseNumber": "G69919",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}