Provider Demographics
NPI:1821016452
Name:LIN, FRANK P (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:P
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:223 N GARFIELD AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1700
Mailing Address - Country:US
Mailing Address - Phone:626-572-8601
Mailing Address - Fax:626-572-4888
Practice Address - Street 1:223 N GARFIELD AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1700
Practice Address - Country:US
Practice Address - Phone:626-572-8601
Practice Address - Fax:626-572-4888
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2019-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA78083207RS0012X, 2084N0600X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA78083Medicare ID - Type Unspecified
CAI31581Medicare UPIN