Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G47739 | CA |
N | 111NI0900X | Internist | G47739 | CA |
N | 207SG0201X | Clinical Genetics (M.D.) | G47739 | CA |
NPI | 1457398760 |
---|---|
Provider Name | Henry J. Lin |
First Address | Torrance, CA 90502-2047 |
Second Address | Torrance, CA 90502-2047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G477390 | (05) | CA |
C88521 | (02) | CA |