Organization Active NPI

X Elsie Lin Medical Corporation

  • Internal Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1326292236
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A69095 Issued in CA
Legal business name
X ELSIE LIN MEDICAL CORPORATION
Practice address
500 N Garfield Ave
Suite 110
Monterey Park, CA 91754-1242
Phone
(626) 288-0091
Fax
(626) 288-0092
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Dr. Xiang-Hong Elsie Lin, MDNPI 1578520771
Title
President
Phone
(626) 288-0091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A69095 CA Primary

Addresses

Primary practice location

500 N Garfield Ave
Suite 110
Monterey Park, CA 91754-1242

Mailing address

500 N Garfield Ave
Suite 110
Monterey Park, CA 91754-1242
Phone (626) 288-0091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081125000064 CA Part B Supplier - Clinic/Group Practice 4385704196 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey Park, CA

National Provider Directory

National Provider Directory

Locations

500 N Garfield Ave
#1
Monterey Park, CA 91754

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1326292236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "SUITE 110",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-288-0091",
            "fax_number": "626-288-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "SUITE 110",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-288-0091",
            "fax_number": "626-288-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X ELSIE LIN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "XIANG-HONG",
        "authorized_official_middle_name": "ELSIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-288-0091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.