Provider Demographics
NPI:1295489656
Name:CHARLES LIN ACUPUNCTURE
Entity type:Organization
Organization Name:CHARLES LIN ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIEN YUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:408-705-8578
Mailing Address - Street 1:125 N JACKSON AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1915
Mailing Address - Country:US
Mailing Address - Phone:408-935-8668
Mailing Address - Fax:
Practice Address - Street 1:125 N JACKSON AVE STE 204
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1915
Practice Address - Country:US
Practice Address - Phone:408-935-8668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty