Organization
ALLERGY & ASTHMA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY LIN M.D. (PRESIDENT)
(909) 463-6900
Entity
Organization
Contact information
Practice address
8008 MONET AVE, SUITE 107, RANCHO CUCAMONGA, CA 91739-7509
(909) 463-6900
(909) 463-1430
Mailing address
8008 MONET AVE, SUITE 107, RANCHO CUCAMONGA, CA 91739-7509
(909) 463-6900
(909) 463-1430
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
A70227
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
A70227
CA
2080P0201X
Pediatric Allergy/Immunology Physician
A70227
CA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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