Individual
FRITZ LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH, ORANGE, CA 92868
(714) 456-2986
Mailing address
UCI DEPARTMENT OF PATHOLOGY, PO BOX 513377, LOS ANGELES, CA 90051-3377
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
000000C43222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C432220
BLUE SHIELD
CA
05
—
00C432220
—
CA
01
—
WC43222A
MEDICARE PTAN
CA
Enumeration date
10/16/2006
Last updated
03/25/2008
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