Provider Demographics
NPI:1790724870
Name:LIN, CHRISTOPHER B (M D)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:B
Last Name:LIN
Suffix:
Gender:M
Credentials:M D
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Mailing Address - Street 1:27725 SANTA MARGARITA PKWY
Mailing Address - Street 2:#225
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6704
Mailing Address - Country:US
Mailing Address - Phone:949-305-8805
Mailing Address - Fax:949-489-0689
Practice Address - Street 1:27725 SANTA MARGARITA PKWY
Practice Address - Street 2:#225
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6704
Practice Address - Country:US
Practice Address - Phone:949-305-8805
Practice Address - Fax:949-489-0689
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA83311174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist