Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A141761 | CA |
NPI | 1407277155 |
---|---|
Provider Name | Bingtao Lin |
First Address | Folsom, CA 95630-3485 |
Second Address | Folsom, CA 95630-3485 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/12/2013 |
Last Update Date | 19/09/2018 |