Lin, Jason Y

Lin, Jason Y is an individual health care provider with primary practice located at 1700 N Waterman Ave , San Bernardino CA 92404-5105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Lin, Jason Y can be contacted via phone (909) 883-8611.

Contact Information

Primary practice address
1700 N Waterman Ave San Bernardino CA 92404-5105
Phone: (909) 883-8611
Fax: (909) 886-1798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A39356 California

Profile Details

NPI number 1588634059
LBN Legal business name Lin, Jason Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 11th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588634059 NPPES
California MEDICAID 00A393560

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