COREY LIN (NPI# 1497399109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497399109 |
| Entity Type | Individual |
| Full Name | COREY LIN |
| Credential | PT, DPT |
| Practice Address |
11611 San Vicente Blvd Los Angeles CA 90049-5106 |
| Mailing Address |
13163 Fountain Park Dr Apt B218 Los Angeles CA 90094-2418 |
| Practice Telephone | 5628333508 |
| Mailing Telephone | 5628333508 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
297526 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11611 SAN VICENTE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568572618 | Maurice Darvish | Specialist | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2006-08-30 |
| 1386267896 | Tawney Freeman | Physician Assistant | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2020-05-19 |
| 1316417363 | Tony C Dang | Physical Therapist | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2018-12-03 |
| 1861920258 | Haley O'neel Cutting | Physician Assistant | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2017-05-30 |
| 1831553734 | Guita Cohen | Chiropractor | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2016-04-07 |
| 1912368358 | Bvm Therapy Inc. | Clinic/Center | 11611 San Vicente Blvd, #gf1, Los Angeles, CA 90049-5106 | 2016-03-13 |
| 1588021158 | Caligenix PC | Clinic/Center | 11611 San Vicente Blvd, Ste L1, Los Angeles, CA 90049-5106 | 2016-01-27 |
| 1811370349 | Azita Zavari | Dental Hygienist | 11611 San Vicente Blvd, Suite L-1, Los Angeles, CA 90049 | 2015-07-01 |
| 1003238346 | Vision To Learn | Optometrist | 11611 San Vicente Blvd, Suite 500, Los Angeles, CA 90049-5106 | 2014-01-06 |
| 1265726665 | Ashley Winter Greer | Physician Assistant | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2011-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1659921054 | Nazanin Amini | Physical Therapist | 5450 W Pico Blvd Ste 202, Los Angeles, CA 90019-3997 | 2019-09-17 |
| 1609393396 | Victory Performance and Physical Therapy | Physical Therapist | 11461 W Washington Blvd Ste 1, Los Angeles, CA 90066-6014 | 2017-08-24 |
| 1740728112 | Michael Karas | Physical Therapist | 3745 Bagley Ave, Apt. 202, Los Angeles, CA 90034-7404 | 2017-02-06 |
| 1851776694 | Reliable Emg | Physical Therapist | 3450 Sawtelle Blvd Apt 140, Los Angeles, CA 90066-2163 | 2015-07-22 |
| 1568866184 | Lauren Freitas | Physical Therapist | 10877 Wilshire Blvd, Ste P1, Los Angeles, CA 90024-4413 | 2014-10-09 |
| 1700127610 | Julianne Frances Kelman | Physical Therapist | 321 N. Larchmont Blvd. #825, Larchmont Physical Therapy, Los Angeles, CA 90004-6400 | 2013-03-04 |
| 1760741342 | Kenneth Taik Kim | Physical Therapist | 3301 S Hoover St, Los Angeles, CA 90007-3557 | 2012-05-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
Please comment or provide details below to improve the information on COREY LIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.