MEDICARE: DR. SHINKO 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	207N00000X	Dermatology Physician	A120354	CA
2	207NS0135X	Procedural Dermatology Physician	A120354	CA

General Provider Information

NPI Number	:	1205130036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHINKO LIN M.D.

Provider Business Mailing Address
First Line	:	5893 COPLEY DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-7906
Country	:	US
Telephone Number	:	833-574-2273
Fax Number	:	858-616-5065

Provider Business Practice Location Address
First Line	:	5893 COPLEY DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-7906
Country	:	US
Telephone Number	:	833-574-2273
Fax Number	:

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

Provider Enumeration Date	:	01/10/2011
Last Update Date	:	04/22/2026

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Directions to “ DR. SHINKO LIN M.D.” Practice Location

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