Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A120354 | CA |
N | 207NS0135X | Procedural Dermatology | A120354 | CA |
NPI | 1205130036 |
---|---|
Provider Name | Dr. Shinko Lin |
First Address | La Mesa, CA 91942-7001 |
Second Address | La Mesa, CA 91942-7001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2011 |
Last Update Date | 24/09/2020 |