MEDICARE: DR. JAMES W 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	A34421	CA

General Provider Information

NPI Number	:	1376568410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES W LIN M.D.

Provider Business Mailing Address
First Line	:	981 W 7TH ST
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-6757
Country	:	US
Telephone Number	:	805-486-4526
Fax Number	:	805-486-3756

Provider Business Practice Location Address
First Line	:	981 W 7TH ST
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-6757
Country	:	US
Telephone Number	:	805-486-4526
Fax Number	:	805-486-3756

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	07/08/2007

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