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NPI Code Detail

MEDICARE: RENEE LIN

MEDICARE:   RENEE  LIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant4480CA

General Provider Information

NPI Number : 1003454737
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE LIN
Provider Business Mailing Address
First Line : 3818 DURFEE AVE APT 3
Second Line :
City : EL MONTE
State : CA
Zip : 91732-2554
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 ALLEN AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91201-2803
Country : US
Telephone Number : 818-845-8507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2019
Last Update Date : 12/12/2019

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Directions to “ RENEE LIN ” Practice Location

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