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Provider Information for 1710011648

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DR. SUNNY T. LIN M.D.

Gender: FEMALE

Individual NPI: 1710011648

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1710011648
Enumeration Date 2007-03-15
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 14445 OLIVE VIEW DRIVE, NORTH ANNEX
SYLMAR, CA 91342
United States

Phone: 818-364-3632 | Fax:
View Map External Link
Primary Practice Address 14445 OLIVE VIEW DRIVE, NORTH ANNEX
SYLMAR, CA 91342
United States

Phone: 818-364-3632 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine CA A68960