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Organization
SANTA MARIA WOMEN & CHILDREN MEDICAL CLINIC, INC
Active
Organization
SANTA MARIA WOMEN & CHILDREN MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS H.T. LIN M.D. (M.D. / OWNER)
(562) 822-5750
Entity
Organization
Contact information
Practice address
8401 LONG BEACH BLVD, SOUTH GATE, CA 90280-2014
(562) 822-5750
Mailing address
17800 CASTLETON ST STE 578, CITY OF INDUSTRY, CA 91748-5757
(626) 308-0068
(626) 810-2189
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A64211
CA
208000000X
Pediatrics Physician
Primary
A64211
CA
363A00000X
Physician Assistant
PA15984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A64211
STATE LICENSE
CA
05
—
GR0092891
—
CA
01
—
PA15984
STATE LICENSE
CA
Enumeration date
08/17/2007
Last updated
06/21/2018
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