Provider Demographics
NPI:1073824652
Name:LIN, CAROL KO-HAN
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:KO-HAN
Last Name:LIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KO-HAN
Other - Middle Name:CAROL
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:732 PINE ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-3179
Mailing Address - Country:US
Mailing Address - Phone:214-208-0403
Mailing Address - Fax:
Practice Address - Street 1:747 52ND STREET
Practice Address - Street 2:CHILDREN'S HOSPITAL RESEARCH CENTER OAKLAND
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609
Practice Address - Country:US
Practice Address - Phone:510-428-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program