Physician Compare National (NPI:1245306836)

HEALTHCARE PROVIDER: IAN Y.H. LIN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1245306836
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335314566
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111215000871
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LIN
	Individual professional last name
Provider First Name	IAN
	Individual professional first name
Provider Middle Name	Y.H.
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TUFTS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	417 N SAN MATEO DR
	Group Practice or individual's line 1 address
City	SAN MATEO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	944012417
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6505795560
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y