Provider Demographics
NPI:1699712927
Name:LIN, BEELEIN (MD)
Entity type:Individual
Prefix:DR
First Name:BEELEIN
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BEELEIN
Other - Middle Name:LIN
Other - Last Name:TSAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:320 S. GARFIELD AVE.
Mailing Address - Street 2:SUITE 226
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801
Mailing Address - Country:US
Mailing Address - Phone:626-288-8186
Mailing Address - Fax:626-288-8184
Practice Address - Street 1:320 S. GARFIELD AVE.
Practice Address - Street 2:SUITE 226
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801
Practice Address - Country:US
Practice Address - Phone:626-288-8186
Practice Address - Fax:626-288-8184
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG88217207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF27282Medicare UPIN
NJLI719308Medicare ID - Type Unspecified