Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A51128 | CA |
Y | 207VX0201X | Gynecologic Oncologist | A51128 | CA |
NPI | 1083619100 |
---|---|
Provider Name | Paul Sc Lin |
First Address | Arcadia, CA 91006-7027 |
Second Address | Pasadena, CA 91106-2423 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 26/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A51125D | (05) | CA |
G17070 | (02) | CA |