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NPI Code Detail

MEDICARE: SI ZHE LIN

MEDICARE: SI ZHE LIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC4731CA

General Provider Information

NPI Number : 1164648390
Entity Type Code : Individual
Provider Name (Legal Business Name) : SI ZHE LIN
Provider Business Mailing Address
First Line : 6506 LOBER PL
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91775-1841
Country : US
Telephone Number : 626-383-9298
Fax Number : 626-292-1632
Provider Business Practice Location Address
First Line : 6506 LOBER PL
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91775-1841
Country : US
Telephone Number : 626-383-9298
Fax Number : 626-292-1632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 07/08/2007

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Directions to “ SI ZHE LIN ” Practice Location

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