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NPI Code Detail

MEDICARE: KYLE LIN

MEDICARE: KYLE 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
1183500000XPharmacist91718CA

General Provider Information

NPI Number : 1992636393
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE LIN
Provider Business Mailing Address
First Line : 101 N BRAND BLVD STE 604
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2615
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 N BRAND BLVD STE 604
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2615
Country : US
Telephone Number : 866-701-6565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ KYLE LIN ” Practice Location

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