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Individual

JEANNIE CHANG LIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2707 E VALLEY BLVD, SUITE 109, WEST COVINA, CA 91792-3195
(626) 956-8024
(310) 956-8010
Mailing address
2707 E VALLEY BLVD, SUITE 109, WEST COVINA, CA 91792-3195
(626) 956-8024
(310) 956-8010

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A78339
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A783390
CA
Enumeration date
07/10/2006
Last updated
10/15/2009
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