Organization Active NPI

Edlin Health & Company

  • Family Medicine Physician
  • Hacienda Heights, CA
National Provider Identifier
1407606635
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EDLIN HEALTH & COMPANY
Practice address
1617 S Azusa Ave
Hacienda Heights, CA 91745-3832
Phone
(626) 913-2383
Fax
(626) 913-2013
NPI assigned
Mar 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Dr. Edward Lin, DONPI 1881122315
Title
Ceo
Phone
(310) 483-3887

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

1617 S Azusa Ave
Hacienda Heights, CA 91745-3832

Mailing address

1617 S Azusa Ave
Hacienda Heights, CA 91745-3832
Phone (626) 913-2383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240524003068 CA Part B Supplier - Clinic/Group Practice 0345682084 Receives reassigned benefits from 1 practitioner
Practice locations: Hacienda Heights, CA

National Provider Directory

National Provider Directory

Locations

1617 S Azusa Ave
Hacienda Heights, CA 91745
Phone (626) 913-2383

Practitioners & affiliated clinicians

Practitioners 2

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": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1407606635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 S AZUSA AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453832",
            "telephone_number": "626-913-2383",
            "fax_number": "626-913-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 S AZUSA AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453832",
            "telephone_number": "626-913-2383",
            "fax_number": "626-913-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDLIN HEALTH & COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-483-3887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.