KELLY YING LIN (NPI# 1205273794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205273794 |
| Entity Type | Individual |
| Full Name | KELLY YING LIN |
| Credential | M.D. |
| Practice Address |
12100 Euclid St Garden Grove CA 92840-3304 |
| Mailing Address |
1515 N Vermont Ave Fl 5 Los Angeles CA 90027-5337 |
| Practice Telephone | 8889882800 |
| Mailing Telephone | 6263183710 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A129679 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871902239 | Kelly Lin | Marriage & Family Therapist | 17220 Newhope St, #205, Fountain Valley, CA 92708-4272 | 2014-08-10 |
| Street Address |
12100 EUCLID ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235120734 | Nancy Lee-hata | Family Medicine | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2005-11-02 |
| 1275170458 | Thuy Trang Thi Khong | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2019-12-05 |
| 1750818399 | Anam Meraj | Pediatrics | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-05-14 |
| 1508390766 | Kathleen Tzan | Pediatrics | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-04-14 |
| 1124567888 | Michelle Suh | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-14 |
| 1649719444 | Kathleen Han Tran | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-14 |
| 1154860070 | Christine Atalla | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-13 |
| 1992244750 | Josefina Guzman-inouye | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-13 |
| 1467991216 | Phuong Nguyen | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-13 |
| 1679011571 | Tuan Ngoc Cao | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255562641 | Ban Duc Doan Md Inc A Professional Corporation | Specialist | 9191 Westminster Ave Ste 206, Garden Grove, CA 92844-2751 | 2009-08-03 |
| 1285820191 | Kimchuyen Thi Nguyen | Specialist | 12900 Garden Grove Blvd, Suite 214a, Garden Grove, CA 92843-2006 | 2007-09-25 |
| 1932242526 | Chi Linh Vuong | Specialist | 13143 Century Blvd., Garden Grove, CA 92843 | 2007-02-14 |
| 1235207614 | Tae Ryang Rhee | Specialist | 12555 Garden Grove Blvd Ste 408, Garden Grove, CA 92843-1904 | 2006-12-01 |
| 1134298664 | Performance Physical Therapy | Specialist | 11022 Acacia Pkwy Ste B, Garden Grove, CA 92840-5108 | 2006-11-07 |
| 1235248014 | James Geurts | Specialist | 11022 Acacia Pkwy, Suite B, Garden Grove, CA 92840-5108 | 2006-08-29 |
| 1982612081 | Lan Khac Nguyen | Specialist | 13071 Brookhurst St Ste 160, Garden Grove, CA 92843-1024 | 2006-08-04 |
| 1699700112 | Kydao,md,inc | Specialist | 13918 Brookhurst St, Suite B, Garden Grove, CA 92843-4332 | 2006-07-12 |
| 1386678894 | Garden Grove Dermatology Center | Specialist | 12665 Garden Grove Blvd #701, Garden Grove, CO 92843 | 2006-07-10 |
| 1487695847 | Healthpointe Medical Group, Inc. | Specialist | 7052 Orangewood Ave, 6, Garden Grove, CA 92841-1419 | 2006-06-09 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
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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.