Individual
DR. HENRY LIN
Active
Individual
DR. HENRY LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G52549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A525490
—
CA
01
—
00G525490
BLUE SHIELD
CA
01
—
1356390009
GROUP NPI
CA
01
—
CE1617
GROUP RAILROAD MEDICARE
CA
01
—
GR0016910
GROUP MEDICAID
CA
01
—
W11675
GROUP MEDICARE PIN
CA
Enumeration date
06/29/2006
Last updated
05/02/2013
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