Wildon Lin Md, Inc | |
1135 S Sunset Ave Suite 307 West Covina CA 91790-3937 | |
(626) 962-1111 | |
(626) 962-1219 |
Full Name | Wildon Lin Md, Inc |
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Speciality | Clinic/center |
Location | 1135 S Sunset Ave, West Covina, California |
Authorized Official Name and Position | Wildon Lin (CEO) |
Authorized Official Contact | 6269621111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wildon Lin Md, Inc 1135 S Sunset Ave Suite 307 West Covina CA 91790-3937 Ph: (626) 962-1111 | Wildon Lin Md, Inc 1135 S Sunset Ave Suite 307 West Covina CA 91790-3937 Ph: (626) 962-1111 |
NPI Number | 1053503011 |
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Provider Enumeration Date | 08/14/2007 |
Last Update Date | 08/14/2007 |
Identifier | Type | State | Issuer |
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1053503011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | A67768 (California) | Primary |
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