Provider Demographics
NPI:1942619614
Name:LIN, JIAN-YA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JIAN-YA
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 CITY PKWY W
Mailing Address - Street 2:PHARMACY MANAGEMENT
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2924
Mailing Address - Country:US
Mailing Address - Phone:657-235-6765
Mailing Address - Fax:714-954-2254
Practice Address - Street 1:505 CITY PKWY W
Practice Address - Street 2:PHARMACY MANAGEMENT
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2924
Practice Address - Country:US
Practice Address - Phone:657-235-6765
Practice Address - Fax:714-954-2254
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA708191835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist