MEDICARE: VICTOR 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	207Q00000X	Family Medicine Physician	A90477	CA
2	171000000X	Military Health Care Provider

General Provider Information

NPI Number	:	1265403802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR LIN M.D.

Provider Business Mailing Address
First Line	:	7700 ARLINGTON BLVD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-2929
Country	:	US
Telephone Number	:	703-681-7349
Fax Number	:

Provider Business Practice Location Address
First Line	:	7700 ARLINGTON BLVD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-2929
Country	:	US
Telephone Number	:	703-681-7349
Fax Number	:

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	05/16/2024

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