Theodore K Lin (NPI# 1528121126, PAC ID# 7315083060) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1528121126 |
PAC ID by PECOS | 7315083060 |
Professional Enrollment ID | I20091009000251 |
Full Name | Theodore K Lin |
Organization Legal Name | INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC |
Address |
1810 Fullerton Ave Suite 206 Corona CA 92881-3110 |
Phone Number | 9516790400 |
Gender | M |
Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
Graduation Year | 2003 |
Primary Specialty | OPHTHALMOLOGY |
Group Practice PAC ID | 1153212808 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050684 | MENIFEE VALLEY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1810 Fullerton Ave, Suite 206, Corona, CA 92881-3110 | 9516790400 | INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC |
Organization Legal Name | INLAND VALLEY RETINA MEDICAL ASSOCIATES, INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul Alexan Blacharski | Ophthalmology | Inland Valley Retina Medical Associates, Inc | 29798 Haun Rd, Suite 200, Menifee, CA 92586-6541 |
Street Address |
1810 FULLERTON AVE SUITE 206 |
City | CORONA |
State | CA |
Zip | 92881-3110 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Baluyut | Family Medicine | 1810 Fullerton Ave, Suite 105, Corona, CA 92881-3109 | |
Jun Yuan | Internal Medicine | 1810 Fullerton Ave, Suite 102, Corona, CA 92881-3109 | |
Rasheed Simjee | Oral Surgery | Rasheed Simjee Professional Dental Corp | 1810 Fullerton Ave, Corona, CA 92881-3110 |
Name | Specialty | Organization | Address |
---|---|---|---|
John E Kaiser | Vascular Surgery | 1820 Fullerton Ave, Suite 120, Corona, CA 92881-3100 | |
Arash A Sadeghian | Optometry | 1501 Rimpau Ave, Suite B104, Corona, CA 92881-3225 | |
Patricia Ann Bogema | Internal Medicine | 2083 Compton Ave, Suite 203, Corona, CA 92881-3416 | |
Ghasan M Tabel | Internal Medicine | 800 S Main St, Corona, CA 92881-3420 | |
Kirk Ramasar | Chiropractic | 1525 E Ontario Ave, Suite 104, Corona, CA 92881-3794 | |
Cheryl Ann Ballou | Psychologist, Clinical | 1101 California Ave, Suite 100, Corona, CA 92881-6472 | |
Talat A Khan | Internal Medicine | Naser W Azar Md Inc | 2071 Compton Ave, Suite 102, Corona, CA 92881-7279 |
Stephanie Jamie Changchien | Family Medicine | Quality Care Family Practice | 2083 Compton Ave, Suite 105, Corona, CA 92881-7288 |
Tejaskumar A Naik | Infectious Disease | 2083 Compton Ave, Suite 103, Corona, CA 92881-7288 | |
Arti C Amin | Podiatry | 2083 Compton Ave, Suite 103, Corona, CA 92881-7288 | |
Find all physicians in zip 92881 |
City | CORONA |
Zip Code | 92881 |
Specialty | OPHTHALMOLOGY |
City + Specialty | CORONA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Theodore K Lin.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.