Individual provider · Type 1 NPI
Ethan Lin
Physician Assistant · Los Gatos, CA
Practice location
640 Blossom Hill Rd Ste A
Los Gatos, CA 95032-4564
Mailing address
9401 Jeronimo Rd
Irvine, CA 92618-1908
Other practice locations
- 9401 Jeronimo Rd, Irvine, CA 92618-1908 · (714) 744-7650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA65931 (CA) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1790593879
Ethan Lin's National Provider Identifier is 1790593879, issued on Dec 20, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Gatos, CA. The record was last updated on Nov 17, 2025.