Provider Demographics
NPI:1649233842
Name:LIN, HUA LUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:HUA LUNG
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HUA
Other - Middle Name:L
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2225 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3608
Mailing Address - Country:US
Mailing Address - Phone:661-395-1271
Mailing Address - Fax:661-395-0309
Practice Address - Street 1:2225 19TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3608
Practice Address - Country:US
Practice Address - Phone:661-395-1271
Practice Address - Fax:661-395-0309
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33475207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A334750Medicaid
CA00A334750Medicare ID - Type Unspecified
CAA27163Medicare UPIN