| Terry C. Lin D.o.,inc. | |
|
2520 Samaritan Dr. #201 San Jose CA 95124 | |
| (888) 582-0814 | |
| Not Available |
| Full Name | Terry C. Lin D.o.,inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2520 Samaritan Dr., San Jose, California |
| Authorized Official Name and Position | Terry C Lin (GASTROENTERLOGY) |
| Authorized Official Contact | 8885820814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry C. Lin D.o.,inc. 2520 Samaritan Dr Ste 201b San Jose CA 95124-4106 Ph: (408) 358-6580 | Terry C. Lin D.o.,inc. 2520 Samaritan Dr. #201 San Jose CA 95124 Ph: (888) 582-0814 |
| NPI Number | 1023161379 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 05/07/2015 |
| Medicare PECOS PAC ID | 8224136825 |
|---|---|
| Medicare Enrollment ID | O20070605000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023161379 | NPI | - | NPPES |
| P00107274 | Other | CA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A65180 (California) | Primary |
| Provider Name | Terry C Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134258213 PECOS PAC ID: 7810923752 Enrollment ID: I20050712001265 |
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