Provider Demographics
NPI:1972714459
Name:NIE, DALIN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:DALIN
Middle Name:
Last Name:NIE
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 1:1117 W DUARTE RD APT 15
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7760
Mailing Address - Country:US
Mailing Address - Phone:626-818-5955
Mailing Address - Fax:
Practice Address - Street 1:1117 W DUARTE RD APT 15
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7760
Practice Address - Country:US
Practice Address - Phone:626-818-5955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8620171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist