MEDICARE: MR. JUSTIN Y. LIN L.AC

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	AC12810	CA

General Provider Information

NPI Number	:	1346581212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JUSTIN Y. LIN L.AC

Provider Business Mailing Address
First Line	:	9955 LOWER AZUSA RD
Second Line	:	#101
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-4059
Country	:	US
Telephone Number	:	626-688-9999
Fax Number	:

Provider Business Practice Location Address
First Line	:	9955 LOWER AZUSA RD
Second Line	:	#101
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-4059
Country	:	US
Telephone Number	:	626-688-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2013
Last Update Date	:	03/02/2013

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Directions to “ MR. JUSTIN Y. LIN L.AC” Practice Location

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