Individual
JASON LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1973 FOOTHILL PKWY UNIT 104, CORONA, CA 92881-4110
(951) 460-2300
Mailing address
2038 S BON VIEW AVE UNIT F, ONTARIO, CA 91761-5511
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95027139
CA
Other
Enumeration date
11/20/2023
Last updated
02/15/2024
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