Wildon Lin MD, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A67768 Issued in CA

Legal business name

WILDON LIN MD, INC

Practice address

1135 S Sunset Ave
Suite 307
West Covina, CA 91790-3937

Phone

(626) 962-1111

Fax

(626) 962-1219

NPI assigned

Aug 14, 2007

Last updated

Aug 14, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wildon Lin, M.D.

Title

Ceo

Phone

(626) 962-1111

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1053503011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE",
            "address_2": "SUITE 307",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903937",
            "telephone_number": "626-962-1111",
            "fax_number": "626-962-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE",
            "address_2": "SUITE 307",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903937",
            "telephone_number": "626-962-1111",
            "fax_number": "626-962-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDON LIN MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "WILDON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-962-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A67768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Whisenand
• White Wings Hospice Inc
• Wicoro Inc (Colonial Manor Conv Hospital)
• Brett Robert Wiggins
• Joan Marie Wild, RNC, NP
• Treneta Loraine Wilkes
• Betty Williams
• Cayla Williams
• William Tenere Williams, MD
• Adelaide Willis, MD

• Clinic/Center in West Covina, CA
• Providers in West Covina, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.