Provider Demographics
NPI:1821009580
Name:LIN, JAMES T (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:T
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:558 SAINT CHARLES DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-3903
Mailing Address - Country:US
Mailing Address - Phone:805-557-7050
Mailing Address - Fax:805-557-4992
Practice Address - Street 1:558 SAINT CHARLES DR
Practice Address - Street 2:SUITE 110
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-3903
Practice Address - Country:US
Practice Address - Phone:805-557-7050
Practice Address - Fax:805-557-4992
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2013-06-04
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Provider Licenses
StateLicense IDTaxonomies
CAA86869207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A868690Medicaid
CA00A868690Medicaid