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NPI Code Detail

MEDICARE: PAUL S. LIN MD INC.

MEDICARE: PAUL S. LIN MD INC.
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
1207VX0201XGynecologic Oncology Physician

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 : 1821610544
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAUL S. LIN MD INC.
Provider Business Mailing Address
First Line : 223 N 1ST AVE STE 201
Second Line :
City : ARCADIA
State : CA
Zip : 91006-7027
Country : US
Telephone Number : 626-698-7246
Fax Number : 626-447-1058
Provider Business Practice Location Address
First Line : 960 E GREEN ST STE L-60
Second Line :
City : PASADENA
State : CA
Zip : 91106-2423
Country : US
Telephone Number : 626-793-3339
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : PAUL S. LIN
Credential : M.D.
Telephone Number : 626-793-3339
Provider Enumeration Date : 05/15/2020
Last Update Date : 05/15/2020

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