Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A77793 | CA |
N | 2080A0000X | Adolescent Medicine | A77793 | CA |
NPI | 1295912277 |
---|---|
Provider Name | Erina May Lin |
First Address | Los Angeles, CA 90401-2061 |
Second Address | Los Angeles, CA 90401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2008 |
Last Update Date | 08/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A77930 | (05) | CA |
A77793 | MEDICAL LIC (01) | CA |