Provider Demographics
NPI:1679597959
Name:LIN, CHIEN-LIANG (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:CHIEN-LIANG
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25880 TOURNAMENT ROAD
Mailing Address - Street 2:110
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2386
Mailing Address - Country:US
Mailing Address - Phone:661-253-2434
Mailing Address - Fax:661-254-7768
Practice Address - Street 1:25880 TOURNAMENT ROAD
Practice Address - Street 2:110
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2386
Practice Address - Country:US
Practice Address - Phone:661-253-2434
Practice Address - Fax:661-254-7768
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7526171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist