Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | A82296 | CA |
NPI | 1053510099 |
---|---|
Provider Name | Eric Lon Lin |
First Address | Fullerton, CA 92835-3800 |
Second Address | Fullerton, CA 92835-3813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 05/11/2021 |