Individual
AARON LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1514 VALLEY VISTA DR, ST JUDE HERITAGE MEDICAL GROUP, DIAMOND BAR, CA 91765
(909) 860-1144
Mailing address
1514 VALLEY VISTA DR, DIAMOND BAR, CA 91765-3929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.146095
IL
207Q00000X
Family Medicine Physician
125066917
IL
207Q00000X
Family Medicine Physician
Primary
20A16396
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2015
Last updated
11/05/2021
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