Provider Demographics
NPI:1699891747
Name:LIN, HUGH SHAOHIM (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:SHAOHIM
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:21200 KITTRIDGE ST
Mailing Address - Street 2:NO. 1194
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91303-2870
Mailing Address - Country:US
Mailing Address - Phone:925-786-8121
Mailing Address - Fax:
Practice Address - Street 1:21200 KITTRIDGE ST
Practice Address - Street 2:NO. 1194
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91303-2870
Practice Address - Country:US
Practice Address - Phone:925-786-8121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104637207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology