Provider Demographics
NPI:1295387496
Name:JAMES LIN CHIROPRACTIC CORP
Entity Type:Organization
Organization Name:JAMES LIN CHIROPRACTIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-281-0510
Mailing Address - Street 1:397 W LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1212
Mailing Address - Country:US
Mailing Address - Phone:626-281-0510
Mailing Address - Fax:626-281-0520
Practice Address - Street 1:397 W LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1212
Practice Address - Country:US
Practice Address - Phone:626-281-0510
Practice Address - Fax:626-281-0520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty