Provider Demographics
NPI:1588960538
Name:LIN, JAMIE C (MD)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:C
Last Name:LIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:711 W COLLEGE ST
Mailing Address - Street 2:SUITE M88
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-1163
Mailing Address - Country:US
Mailing Address - Phone:213-626-5151
Mailing Address - Fax:
Practice Address - Street 1:711 W COLLEGE ST
Practice Address - Street 2:SUITE M88
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-1163
Practice Address - Country:US
Practice Address - Phone:213-626-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-08
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA114710207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology