Doctor Name: | MR. NOBEL LIN |
NPI Number: | 1427072453 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | PA17716 |
Business Practice Address: | 1141 W Redondo Beach Blvd Suite 402 Gardena, CA - 902473586 |
Business Phone Number: | 3103298631 |
Business Fax Number: | 3103298636 |
Mailing Address: | 1141 W Redondo Beach Blvd, Suite 402 GARDENA |
State: | CA |
Postal Code: | 902473586 |
Phone Number: | 3103298631 |
Fax Number: | 3103298625 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 11/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PA17716 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |