Raven Lin, MD

Student in an Organized Health Care Education/Training Program in Harbor City, CA. Individual provider (NPI-1).

NPI number1013767367

StatusActive

Last updated in NPPESJun 12, 2024

Details

NPI: 1013767367
Entity type: Individual (NPI-1)
Name: Raven Lin
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Mar 26, 2024
Certification date: Jun 12, 2024
Last updated: Jun 12, 2024

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes

Practice location

1403 Lomita Blvd Ste 200
Harbor City, CA 90710-2086

Phone 310-602-2550 · Fax 310-326-7205

Mailing address

1403 Lomita Blvd Ste 200
Harbor City, CA 90710-2086

Phone 310-602-2550

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Harbor City, CA

All 37 Student in an Organized Health Care Education/Training Program providers in Harbor City · All 1,089 providers in Harbor City

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