Lin Medical Group, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LIN MEDICAL GROUP, INC

Practice address

15477 Ventura Blvd
Suite 100
Sherman Oaks, CA 91403-3046

Phone

(818) 906-6900

Fax

(818) 906-6903

NPI assigned

Dec 4, 2009

Organization subpart

No

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

Authorized official

Name

Mirasol Pineda

Title

Billing Manager

Phone

(818) 906-6900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1477881225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28049 SMYTH DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554023",
            "telephone_number": "818-906-6900",
            "fax_number": "818-906-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD",
            "address_2": "SUITE 100",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033046",
            "telephone_number": "818-906-6900",
            "fax_number": "818-906-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIN MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "MIRASOL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "818-906-6900"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Start Home Health Care, Inc.
• Elena Marie Lilles, M.ED.
• Damirah Lim
• Roger Sherman Lim, DDS, MS
• Paula Juliann Limon
• James P Lin, DDS
• Jennifer Mee-Heung Wong Lin, M.D.
• Michael Lin, M.D.
• Michael T Lin, MD
• Andrea Daniela Linares

• General Practice Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.