Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | G86136 | CA |
NPI | 1437260775 |
---|---|
Provider Name | Wei-Chien Michael Lin |
First Address | Monrovia, CA 91016-4066 |
Second Address | Sherman Oaks, CA 91403-2109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 31/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G861360 | (05) | CA |
00G861360 | BLUE SHIELD (01) | |
G76964 | (02) |