Individual
DR. IVY LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11245 WASHINGTON BLVD, WHITTIER, CA 90606-3111
(562) 692-1208
(562) 695-6386
Mailing address
11245 WASHINGTON BLVD, WHITTIER, CA 90606-3111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12327T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0123270
—
CA
Enumeration date
09/08/2005
Last updated
06/23/2016
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