MEDICARE: MEINA 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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1295662765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEINA LIN

Provider Business Mailing Address
First Line	:	350 E DEL MAR BLVD. PASADENA
Second Line	:	APT. 225
City	:	PASADENA
State	:	CA
Zip	:	91101-2754
Country	:	US
Telephone Number	:	617-256-1311
Fax Number	:

Provider Business Practice Location Address
First Line	:	4423 SANTA MONICA BLVD. LOS ANGELES
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-2013
Country	:	US
Telephone Number	:	617-256-1311
Fax Number	:

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

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ MEINA LIN ” Practice Location

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