Provider Demographics
NPI:1144418773
Name:GENE J. LIN, M.D., INC.
Entity type:Organization
Organization Name:GENE J. LIN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-696-1159
Mailing Address - Street 1:PO BOX 2215
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92067-2215
Mailing Address - Country:US
Mailing Address - Phone:562-298-6214
Mailing Address - Fax:
Practice Address - Street 1:15141 WHITTIER BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2135
Practice Address - Country:US
Practice Address - Phone:562-696-1159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69919207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1144418773OtherGROUP NPI
CA1932299252OtherINDIVIDUAL NPI
CAG69919Medicare PIN
CA1932299252OtherINDIVIDUAL NPI
CAE97203Medicare UPIN
CAW18107Medicare PIN
CAG69919AMedicare PIN