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
1	171100000X	Acupuncturist	AC4731	CA

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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