Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | A123482 | CA |
NPI | 1225365810 |
---|---|
Provider Name | Tiffany Fangtse Lin |
First Address | San Francisco, CA 94143 |
Second Address | San Francisco, CA 94158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2009 |
Last Update Date | 03/04/2017 |