Individual
JACK LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4860 Y ST STE 3700, SACRAMENTO, CA 95817-2307
(916) 734-6514
Mailing address
4860 Y ST STE 3700, SACRAMENTO, CA 95817-2307
(916) 734-6514
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A72100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A72100A
MEDICAL PPIN #
CA
Enumeration date
08/16/2006
Last updated
02/27/2022
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