1114143328 NPI number — TIFFANY HSIEH LIN M.S. L,AC.

NPI Number: 1114143328
Health Care Provider/Practitioner: TIFFANY HSIEH LIN M.S. L,AC.

NPI Number : 1114143328 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114143328",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIN",
    "FirstName": "TIFFANY",
    "MiddleName": "HSIEH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S. L,AC.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HSIEH",
    "OtherFirstName": "TIFFANY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S. L.AC.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "25 VILLAGER",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IRVINE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92602-2459",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-351-0320",
    "MailingAddressFaxNumber": "949-721-9653",
    "FirstLinePracticeLocationAddress": "29819 SANTA MARGARITA PKWY STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RANCHO SANTA MARGARITA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92688-3620",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-351-0320",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/17/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "AC 10580",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}