Provider Demographics
NPI:1386040228
Name:LIN, SHENG-TIAN (LAC)
Entity Type:Individual
Prefix:MR
First Name:SHENG-TIAN
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1055 E BROKAW RD STE 30-178
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2318
Mailing Address - Country:US
Mailing Address - Phone:626-537-6364
Mailing Address - Fax:
Practice Address - Street 1:4155 MOORPARK AVE.
Practice Address - Street 2:STE 20 ROOM B
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95117
Practice Address - Country:US
Practice Address - Phone:408-914-2468
Practice Address - Fax:530-937-9585
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15918171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist