Provider Demographics
NPI:1194928002
Name:LIN, TOM YIH-CHAO (MD)
Entity type:Individual
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First Name:TOM
Middle Name:YIH-CHAO
Last Name:LIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11311 BRIDGEPORT WAY SW
Mailing Address - Street 2:STE 311
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-3071
Mailing Address - Country:US
Mailing Address - Phone:253-589-3677
Mailing Address - Fax:253-589-8477
Practice Address - Street 1:3660 PARK SIERRA DR
Practice Address - Street 2:STE 105
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-3071
Practice Address - Country:US
Practice Address - Phone:951-278-8870
Practice Address - Fax:951-278-8913
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2017-04-17
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Provider Licenses
StateLicense IDTaxonomies
WAMD00047583208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8484677Medicaid
WA0221364OtherSTATE L&I
WA8945104OtherSTATE CRIME VICTIMS
WA8484677Medicaid