Provider Demographics
NPI:1487019949
Name:LIN, KAUNGSETT (PT, DPT, CSCS)
Entity Type:Individual
Prefix:
First Name:KAUNGSETT
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:PT, DPT, CSCS
Other - Prefix:
Other - First Name:KAY
Other - Middle Name:
Other - Last Name:LIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT, CSCS
Mailing Address - Street 1:12366 POINSETTIA AVE
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-3632
Mailing Address - Country:US
Mailing Address - Phone:949-202-6059
Mailing Address - Fax:
Practice Address - Street 1:12366 POINSETTIA AVE
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-3632
Practice Address - Country:US
Practice Address - Phone:949-202-6059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA433282251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic