Provider Demographics
NPI:1770507709
Name:LIN, CALVIN C (MD)
Entity type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:C
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:451 W GONZALES RD STE 130
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0721
Mailing Address - Country:US
Mailing Address - Phone:805-981-7691
Mailing Address - Fax:805-891-7676
Practice Address - Street 1:451 W GONZALES RD STE 130
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0721
Practice Address - Country:US
Practice Address - Phone:805-981-7691
Practice Address - Fax:805-891-7676
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2024-07-10
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Provider Licenses
StateLicense IDTaxonomies
CAA92616208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics