Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 20A8028 | CA |
NPI | 1174738272 |
---|---|
Provider Name | Mr. Daniel Hung Sun Lin |
First Address | Cypress, CA 90630-3524 |
Second Address | City Of Industry, CA 91748-1340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 08/07/2007 |