Juddy King-Yo Lin, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

54598 Issued in CA

Practice address

3080 W Temple Ave
Phillips Ranch, CA 91766-6817

Phone

(909) 620-6066

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1164554382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 W TEMPLE AVE",
            "city": "PHILLIPS RANCH",
            "state": "CA",
            "postal_code": "917666817",
            "telephone_number": "909-620-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 W TEMPLE AVE",
            "city": "PHILLIPS RANCH",
            "state": "CA",
            "postal_code": "917666817",
            "telephone_number": "909-620-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JUDDY",
        "middle_name": "KING-YO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Aaron Carr, DNP, CRNA
• Emmanuel Castro
• Heritage Group Homes, Inc.
• Veronica Luisa Hernandez
• Juddy Lin, DMD., Inc
• Troy Anthony Littlejohn
• Alana Lopez, LMFT
• Mia Beltran Miller, PT
• Phillips Ranch Dental Group

• All providers in Phillips Ranch, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.