Provider Demographics
NPI:1083768832
Name:LIN, JAMES P (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:LIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:16300 SAND CANYON AVE
Mailing Address - Street 2:SUITE 901
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3711
Mailing Address - Country:US
Mailing Address - Phone:949-453-8600
Mailing Address - Fax:949-453-8601
Practice Address - Street 1:16300 SAND CANYON AVE
Practice Address - Street 2:SUITE 901
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3711
Practice Address - Country:US
Practice Address - Phone:949-453-8600
Practice Address - Fax:949-453-8601
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2021-04-27
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Provider Licenses
StateLicense IDTaxonomies
CAA83662207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA542172017OtherTAX ID
CA270093566OtherTAX ID