MEDICARE: PAUL SC LIN M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	A51128	CA
2	207VX0201X	Gynecologic Oncology Physician	A51128	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083619100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL SC LIN M.D.

Provider Business Mailing Address
First Line	:	223 N 1ST AVE STE 201
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-7027
Country	:	US
Telephone Number	:	626-698-7246
Fax Number	:	626-447-1058

Provider Business Practice Location Address
First Line	:	960 E GREEN ST STE L-60
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-2423
Country	:	US
Telephone Number	:	626-793-3339
Fax Number	:	626-793-3118

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	04/04/2023

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Directions to “ PAUL SC LIN M.D.” Practice Location

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