Provider Demographics
NPI:1336589688
Name:JAMES J.D. LIN, M.D A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:JAMES J.D. LIN, M.D A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JD
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-529-8923
Mailing Address - Street 1:340 W CENTRAL AVE STE 122
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3006
Mailing Address - Country:US
Mailing Address - Phone:714-529-8923
Mailing Address - Fax:714-529-7017
Practice Address - Street 1:340 W CENTRAL AVE STE 122
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3006
Practice Address - Country:US
Practice Address - Phone:714-529-8923
Practice Address - Fax:714-529-7017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA-030146261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service