# VISION INSTITUTE OF SOUTHERN CALIFORNIA A PROFESSIONAL MEDICAL CORPORA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IQ Laser Vision
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144696592
- **Authorized official:** ROBERT LIN M.D. (MEDICAL DIRECTOR & EYE SURGEON)
- **Authorized official phone:** (626) 854-2020

## Contact information

- **Practice address:** 375 HUNTINGTON DR. STE. D, SAN MARINO, CA 91108
- **Practice address phone:** (626) 389-2920
- **Practice address fax:** (626) 389-2921
- **Mailing address:** 18725 GALE AVENUE SUITE 140, CITY OF INDUSTRY, CA 91748
- **Mailing address phone:** (626) 854-2020
- **Mailing address fax:** (626) 854-2021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2015
- **Last updated:** 02/26/2016