Healthcare Provider Details

I. General information

NPI: 1881990646
Provider Name (Legal Business Name): CHIH-CHENG LIN L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 02/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10303 GARVEY AVE # A
EL MONTE CA
91733-2135
US

IV. Provider business mailing address

10303 GARVEY AVE # A
EL MONTE CA
91733-2135
US

V. Phone/Fax

Practice location:
  • Phone: 626-731-2981
  • Fax:
Mailing address:
  • Phone: 626-731-2981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC12698
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: