Provider Demographics
NPI:1689015349
Name:THOMAS T H LIN MD INC.
Entity Type:Organization
Organization Name:THOMAS T H LIN MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER OF CORPORATION
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:TH
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-296-9888
Mailing Address - Street 1:2405 FOREST AVE.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1520
Mailing Address - Country:US
Mailing Address - Phone:408-296-9888
Mailing Address - Fax:408-296-9833
Practice Address - Street 1:2405 FOREST AVE.
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1520
Practice Address - Country:US
Practice Address - Phone:408-296-9888
Practice Address - Fax:408-296-9833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30516207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A87415Medicare UPIN
00A305160Medicare PIN