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NPI Code Detail

MEDICARE: JEFFERY SHYH-JYE LIN MD

MEDICARE: JEFFERY SHYH-JYE LIN MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208800000XUrology PhysicianMD61272633WA

Other Identifiers

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

General Provider Information

NPI Number : 1598296709
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFERY SHYH-JYE LIN MD
Provider Business Mailing Address
First Line : 6041 CADILLAC AVE
Second Line : DEPARTMENT OF UROLOGY
City : LOS ANGELES
State : CA
Zip : 90034-1702
Country : US
Telephone Number : 646-825-6300
Fax Number :
Provider Business Practice Location Address
First Line : 6041 CADILLAC AVE
Second Line : DEPARTMENT OF UROLOGY
City : LOS ANGELES
State : CA
Zip : 90034-1702
Country : US
Telephone Number : 646-825-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 01/29/2026

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