Judy Lin, | |
2500 Merced St, San Leandro, CA 94577-4201 | |
(510) 625-5454 | |
Not Available |
Full Name | Judy Lin |
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Gender | Female |
Speciality | Pediatrics |
Location | 2500 Merced St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245658301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A150466 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Judy Lin, 2500 Merced St, San Leandro, CA 94577-4201 Ph: () - | Judy Lin, 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 625-5454 |
Sharon Eileen Durousseau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Shannon Liu-ku, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Merced Street, Hospital Building, Nicu, San Leandro, CA 94577 Phone: 510-454-1000 | |
Stacie Louise Walton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Dr. Arnold J Blustein, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1235 Harrison St, San Leandro, CA 94577 Phone: 510-352-2425 Fax: 510-352-6273 | |
Berenice M Ku, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Dr. Roxanna Aimee Martinez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 510-547-2702 | |
Dr. Katherine M Gallagher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1555 Doolittle Drive, Bancroft Pediatrics, San Leandro, CA 94577 Phone: 510-483-2600 |