Organization
QUEENS RADIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P LIN M.D. (CHAIRMAN)
(323) 913-4860
Entity
Organization
Contact information
Practice address
1300 N VERMONT AVE, DEPARTMENT OF RADIOLOGY, LOS ANGELES, CA 90027-6005
(323) 913-4860
(323) 913-4922
Mailing address
PO BOX 657, WEST COVINA, CA 91793-0657
(909) 595-4595
(909) 595-4365
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0000080
—
CA
Enumeration date
09/16/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us