Provider Demographics
NPI:1194817635
Name:LIN, YINGCHIH (MD)
Entity Type:Individual
Prefix:MR
First Name:YINGCHIH
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 S SUNNYVALE AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6123
Mailing Address - Country:US
Mailing Address - Phone:408-481-9800
Mailing Address - Fax:408-487-9880
Practice Address - Street 1:499 S SUNNYVALE AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6123
Practice Address - Country:US
Practice Address - Phone:408-487-9800
Practice Address - Fax:408-481-9880
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG085438207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H15177Medicare UPIN
G85438Medicare ID - Type Unspecified