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Organization
JAY J LIN MD INC A PROF CORP
Active
Organization
JAY J LIN MD INC A PROF CORP
Active
Other names
JAY J. LIN, M.D., INC. A PROFESSIONAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
JAY JENSHONG LIN MD (OWNER)
(818) 883-6840
Entity
Organization
Contact information
Practice address
22030 SHERMAN WAY, SUITE 201, CANOGA PARK, CA 91303-1855
(818) 883-6840
(818) 883-8828
Mailing address
22030 SHERMAN WAY STE 201, CANOGA PARK, CA 91303-1885
(818) 883-6840
(818) 883-8828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
A31426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A314260
—
CA
01
—
W21632
MEDICARE GROUP
CA
Enumeration date
07/12/2006
Last updated
09/30/2025
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