Provider Demographics
NPI:1932133105
Name:TERRY C. LIN D.O.
Entity Type:Organization
Organization Name:TERRY C. LIN D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GASTROENTEROLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:408-358-6580
Mailing Address - Street 1:2520 SAMARITAN DR # 201
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4106
Mailing Address - Country:US
Mailing Address - Phone:408-358-6580
Mailing Address - Fax:408-358-6515
Practice Address - Street 1:2520 SAMARITAN DR # 201
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4106
Practice Address - Country:US
Practice Address - Phone:408-358-6580
Practice Address - Fax:408-358-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6518207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty