Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | A73229 | CA |
N | 208000000X | Pediatrician | A73229 | CA |
NPI | 1780812602 |
---|---|
Provider Name | Dr. Ruth J Lin |
First Address | San Jose, CA 95128 |
Second Address | San Jose, CA 95128-2604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 11/02/2022 |