Provider Demographics
NPI:1780983411
Name:LIN, ERIN HUAN (DO)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:HUAN
Last Name:LIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13346 WAGON CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92880-0705
Mailing Address - Country:US
Mailing Address - Phone:951-264-2193
Mailing Address - Fax:909-580-1363
Practice Address - Street 1:13346 WAGON CREEK WAY
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92880-0705
Practice Address - Country:US
Practice Address - Phone:951-264-2193
Practice Address - Fax:909-580-1363
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11452208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery