Provider Demographics
NPI:1982664041
Name:LIN, DAVID HY (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HY
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:112 LA CASA VIA STE 320
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3018
Mailing Address - Country:US
Mailing Address - Phone:925-831-9200
Mailing Address - Fax:925-831-9317
Practice Address - Street 1:112 LA CASA VIA STE 320
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3018
Practice Address - Country:US
Practice Address - Phone:925-831-9200
Practice Address - Fax:925-831-9317
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG41718207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG41718OtherMEDICAL LICENSE
CAA48668Medicare UPIN
CA100000358Medicare PIN