Provider Demographics
NPI:1538219449
Name:LIN, JENNIFER MEE-HEUNG WONG (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MEE-HEUNG WONG
Last Name:LIN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:28049 SMYTH DR
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4023
Mailing Address - Country:US
Mailing Address - Phone:818-906-6900
Mailing Address - Fax:818-906-6903
Practice Address - Street 1:15477 VENTURA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3006
Practice Address - Country:US
Practice Address - Phone:818-906-6900
Practice Address - Fax:818-906-6903
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2021-12-03
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Provider Licenses
StateLicense IDTaxonomies
CAA78736207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH50298Medicare UPIN