Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 20A11544 | CA |
NPI | 1205085610 |
---|---|
Provider Name | Richard Yd Lin |
First Address | Fountain Valley, CA 92708-4045 |
Second Address | Fountain Valley, CA 92708-4019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2008 |
Last Update Date | 21/08/2019 |