Provider Demographics
NPI:1366650889
Name:LIN, SERENA
Entity Type:Individual
Prefix:DR
First Name:SERENA
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 NEWELL AVE
Mailing Address - Street 2:DEPARTMENT OF WOMEN'S HEALTH
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5120
Mailing Address - Country:US
Mailing Address - Phone:925-295-4040
Mailing Address - Fax:
Practice Address - Street 1:1515 NEWELL AVE
Practice Address - Street 2:DEPARTMENT OF WOMEN'S HEALTH
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5120
Practice Address - Country:US
Practice Address - Phone:925-295-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89736207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology