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Individual

DR. HONG-DER LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5565 GROSSMONT CENTER DR, BLDG 1 SUITE 221, LA MESA, CA 91942-3022
(619) 462-8100
(619) 462-7933
Mailing address
5565 GROSSMONT CENTER DR, BLDG 1 SUITE 221, LA MESA, CA 91942-3022
(619) 462-8100
(619) 462-7933

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C42964
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C429640
MEDI-CAL
01
DA3229
MEDICARE RAILROAD GROUP
01
GR0059620
MEDI-CAL GROUP NUMBER
CA
05
GR0059620
CA
01
P00052478
MEDICARE RAILROAD
01
ZZZ43506Z
BS
CA
Enumeration date
07/31/2006
Last updated
07/09/2007
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