Individual
DR. KRISTIE L LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 E ARTESIA ST STE 140, POMONA, CA 91767-2924
(909) 671-4143
(909) 671-4145
Mailing address
160 E ARTESIA ST STE 140, POMONA, CA 91767-2924
(909) 671-4143
(909) 671-4145
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
114433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400003712
MEDICARE PTAN
CT
Enumeration date
01/28/2008
Last updated
04/23/2018
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