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Individual

JEANNETTE LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 THE CITY DR S, STE 400, ZOT 4080, ORANGE, CA 92868-3201
(714) 456-6699
Mailing address
101 THE CITY DR S, STE 400, ZOT 4080, ORANGE, CA 92868-3201
(714) 456-6699

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A95118
CA
207RA0002X
Adult Congenital Heart Disease Physician
Primary
A95118
CA
207RC0000X
Cardiovascular Disease Physician
A95118
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568686491
CA
Enumeration date
04/12/2007
Last updated
02/10/2025
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