WILDON LIN MD, INC (NPI# 1053503011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053503011 |
| Entity Type | Organization |
| Organization Name | WILDON LIN MD, INC |
| Practice Address |
1135 S Sunset Ave Suite 307 West Covina CA 91790-3937 |
| Practice Telephone | 6269621111 |
| Practice Fax Number | 6269621219 |
| Mailing Telephone | 6269621111 |
| Mailing Fax Number | 6269621219 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |
| Authorized Official Name | DR. WILDON LIN (CEO) |
| Authorized Official Telephone | 6269621111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A67768 | CA | Ambulatory Health Care Facilities |
| Street Address |
1135 S SUNSET AVE SUITE 307 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326023979 | Brian J Leberthon | Internal Medicine | 1135 S Sunset Ave, Suite # 207, West Covina, CA 91790-3937 | 2005-12-07 |
| 1881142438 | Suwen Pan | Nurse Practitioner | 1135 S Sunset Ave, West Covina, CA 91790-3937 | 2016-09-13 |
| 1013329721 | Debra Tasic | Genetic Counselor, MS | 1135 S Sunset Ave, Suite 402, West Covina, CA 91790-3937 | 2014-05-29 |
| 1770906117 | Citrus Treatment Center | Clinic/Center | 1135 S Sunset Ave, Suite # 207, West Covina, CA 91790-3937 | 2014-01-21 |
| 1386073096 | Joseph L Lin Md Inc | Ophthalmology | 1135 S Sunset Ave, Suite 210, West Covina, CA 91790-3937 | 2013-11-03 |
| 1568707750 | Brian Leberthon | Clinic/Center | 1135 S Sunset Ave, 207, West Covina, CA 91790-3937 | 2012-11-29 |
| 1659623379 | Lindsay Arellano | Physician Assistant | 1135 S Sunset Ave, Suite # 405, West Covina, CA 91790-3937 | 2012-10-04 |
| 1164778759 | Bill W. Tang, Md A Med Corp | Clinic/Center | 1135 S Sunset Ave, #206, West Covina, CA 91790-3937 | 2012-08-01 |
| 1417255498 | Robert Arnold Abrams D P M A Podiatry Corporation | Podiatrist | 1135 S Sunset Ave, Suite 107, West Covina, CA 91790-3937 | 2011-03-01 |
| 1194025858 | Pacific Sleep Medicine, A Medical Corp | Clinic/Center | 1135 S Sunset Ave, Suite 307, West Covina, CA 91790-3937 | 2010-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1558672360 | California Mental Health Connection | Clinic/Center | 714 N. Sunset Ave, West Covina, CA 91790 | 2010-06-25 |
| 1225363625 | Le Hoang Med Inc | Clinic/Center | 933 S Sunset Ave Ste 201, West Covina, CA 91790-3410 | 2009-10-02 |
| 1306341797 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 420 S Glendora Ave, West Covina, CA 91790-3001 | 2018-03-27 |
| 1528438876 | Southern California Gastroenteroloy & Hepatology | Clinic/Center | 910 S Sunset Ave, Suite 5, West Covina, CA 91790-3409 | 2015-09-29 |
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| Find all providers with the same taxonomy | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.