Individual
AMY LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MED PLZ, SUITE 365, LOS ANGELES, CA 90095-0001
(310) 206-7662
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5631
(310) 301-8708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A92766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A927660
MEDI-CAL PPIN #
CA
Enumeration date
05/31/2007
Last updated
11/29/2021
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