Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | A123177 | CA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | A123177 | CA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD60712855 | WA |
NPI | 1043582315 |
---|---|
Provider Name | Roy Po-Chou Lin |
First Address | Los Angeles, CA 90095 |
Second Address | Wenatchee, WA 98801-3201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2012 |
Last Update Date | 31/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043582315 | (05) | WA |
G8967271 | MEDICARE (01) | WA |