Individual
VIRGINIA WENDY LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4650 SUNSET BLVD., MS#82, LOS ANGELES, CA 90027
(323) 361-2471
Mailing address
4650 SUNSET BLVD., MS#82, LOS ANGELES, CA 90027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
617686
NY
163W00000X
Registered Nurse
95188732
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95012732
CA
363LP0200X
Pediatric Nurse Practitioner
F382194
NY
Other
Enumeration date
05/04/2011
Last updated
02/10/2020
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