Individual
MARK LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17582 MANCHESTER AVE, IRVINE, CA 92614-6646
(949) 350-5582
Mailing address
17582 MANCHESTER AVE, IRVINE, CA 92614-6646
(949) 350-5582
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A164754
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2018
Last updated
03/04/2024
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