Search › California › 363A00000X
Ethan Lin
NPI 1790593879 · on the registry since 2024
Practice
- Address
- 640 Blossom Hill Rd Ste A
Los Gatos, CA 95032 - Phone
- (408) 703-4600
- Clinicians at this address
- 3
Additional practice sites
- 9401 Jeronimo Rd, Irvine, CA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California