Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A45974 | CA |
Y | 111NI0900X | Internist | A45974 | CA |
N | 207RH0003X | Hematology & Oncology | A45974 | CA |
NPI | 1073579421 |
---|---|
Provider Name | Albert Y Lin |
First Address | San Jose, CA 95128 |
Second Address | San Jose, CA 95128-2604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 02/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A4569740 | (05) | CA |
G65520 | (02) | CA |