Provider Demographics
NPI:1578635587
Name:LIN, JAMES H (DC28394)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:LIN
Suffix:
Gender:M
Credentials:DC28394
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28394111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor