Healthcare Provider Details

I. General information

NPI: 1215851589
Provider Name (Legal Business Name): TZU CHIN LIN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1598 WASHINGTON AVE
SAN LEANDRO CA
94577-4465
US

IV. Provider business mailing address

1598 WASHINGTON AVE
SAN LEANDRO CA
94577-4465
US

V. Phone/Fax

Practice location:
  • Phone: 510-545-4588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113706
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: