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Organization

AUGUSTIN A. LIN, D.O., INC.

Active
Other names
Family Specialty Care Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AUGUSTIN A LIN D.O. (MEDICAL DIRECTOR)
(909) 396-1755
Entity
Organization

Contact information

Practice address
13768 ROSWELL AVE, SUITE #120, CHINO, CA 91710-1401
(909) 396-1755
(909) 396-8268
Mailing address
3817 GRAND AVE STE B, PMB 225, CHINO, CA 91710-5443
(909) 396-1755
(909) 396-8268

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20A6462
STATE MEDICAL LICENSE
CA
Enumeration date
10/25/2006
Last updated
03/18/2008
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