Organization
TURLOCK EMG & NEUROLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIN MA M.D. (CEO)
(209) 202-3762
Entity
Organization
Contact information
Practice address
1051 E TUOLUMNE RD, SUITE 107, TURLOCK, CA 95382-1546
(209) 202-3762
(209) 343-2425
Mailing address
1051 E TUOLUMNE RD, SUITE 107, TURLOCK, CA 95382-1546
(209) 202-3762
(209) 343-2425
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063529519
NPI
—
01
—
1750511846
NPI
—
05
—
6339039
—
CA
01
—
BY423Y
PTAN INDIVIDUAL
—
01
—
CK637A
PTAN
—
Enumeration date
07/23/2009
Last updated
12/03/2014
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