Provider Demographics
NPI:1568548998
Name:LING, LISMIN YUBIAO (PHD)
Entity Type:Individual
Prefix:DR
First Name:LISMIN
Middle Name:YUBIAO
Last Name:LING
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:LISMIN
Other - Middle Name:
Other - Last Name:DIRWANTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:2848 S CANTAMAR CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-3398
Mailing Address - Country:US
Mailing Address - Phone:559-303-8528
Mailing Address - Fax:559-622-8880
Practice Address - Street 1:1920 W PRINCETON AVE
Practice Address - Street 2:#12
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4493
Practice Address - Country:US
Practice Address - Phone:559-622-9880
Practice Address - Fax:559-622-8880
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7749171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist