Bryan Tzyyoung Lin (NPI# 1427077171, PAC ID# 9133254881) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1427077171 |
| PAC ID by PECOS | 9133254881 |
| Professional Enrollment ID | I20120109000802 |
| Full Name | Bryan Tzyyoung Lin |
| Organization Legal Name | INTERSCOPE PATHOLOGY MEDICAL GROUP |
| Address |
21114 Vanowen St Canoga Park CA 91303-2821 |
| Phone Number | 8189927848100 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 3971502261 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050761 | PROVIDENCE TARZANA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 21114 Vanowen St, Canoga Park, CA 91303-2821 | 8189927848100 | INTERSCOPE PATHOLOGY MEDICAL GROUP |
| 18321 Clark St, Tarzana, CA 91356-3501 | 8188810351 | INTERSCOPE PATHOLOGY MEDICAL GROUP |
| Organization Legal Name | INTERSCOPE PATHOLOGY MEDICAL GROUP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Colburn | Pathology | Interscope Pathology Medical Group | 21114 Vanowen St, Canoga Park, CA 91303-2821 |
| Street Address |
21114 VANOWEN ST |
| City | CANOGA PARK |
| State | CA |
| Zip | 91303-2821 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Colburn | Pathology | Interscope Pathology Medical Group | 21114 Vanowen St, Canoga Park, CA 91303-2821 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary U Schuerger | Physical Therapy | Comprehensive Therapeutics Inc | 22235 Sherman Way, Canoga Park, CA 91303-1058 |
| Erin Timothy Adams | Physical Therapy | Comprehensive Therapeutics Inc | 22235 Sherman Way, Canoga Park, CA 91303-1058 |
| Kenneth S Fine | Chiropractic | 22330 Sherman Way, Suite C2, Canoga Park, CA 91303-1065 | |
| Lisa Ann Modera | Physical Therapy | Custom Pt A Physical Therapy Corp | 22122 Sherman Way, Suite 106, Canoga Park, CA 91303-1135 |
| Karissa Dawn Ly | Physical Therapy | Custom Pt A Physical Therapy Corp | 22122 Sherman Way, Suite 106, Canoga Park, CA 91303-1135 |
| Samuel R. Di Giovanni | Physical Therapy | Custom Pt A Physical Therapy Corp | 22122 Sherman Way, Suite 106, Canoga Park, CA 91303-1135 |
| Jeffrey A Dunbar | Physical Therapy | 22139 Sherman Way, Canoga Park, CA 91303-1137 | |
| Mary A Ditto | Oral Surgery | 7411 Topanga Canyon Blvd, Canoga Park, CA 91303-1211 | |
| Saurabh Jain | General Surgery | Saurabh Jain Md Inc | 7301 Topanga Canyon Blvd, Suite 330, Canoga Park, CA 91303-1357 |
| Massey Ahmadi | Nurse Practitioner | Saurabh Jain Md Inc | 7301 Topanga Canyon Blvd, Suite 330, Canoga Park, CA 91303-1357 |
| Find all physicians in zip 91303 | |||
| City | CANOGA PARK |
| Zip Code | 91303 |
| Specialty | PATHOLOGY |
| City + Specialty | CANOGA PARK + PATHOLOGY |
Please comment or provide details below to improve the information on Bryan Tzyyoung 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.