Provider Demographics
NPI:1700105343
Name:LIN, JOANNA CHUNYEN (DC LAC)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:CHUNYEN
Last Name:LIN
Suffix:
Gender:F
Credentials:DC LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12942 ELM TREE LN
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1132
Mailing Address - Country:US
Mailing Address - Phone:714-726-1841
Mailing Address - Fax:909-248-0171
Practice Address - Street 1:12942 ELM TREE LN
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-1132
Practice Address - Country:US
Practice Address - Phone:714-726-1841
Practice Address - Fax:909-248-0171
Is Sole Proprietor?:No
Enumeration Date:2010-05-21
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13716171100000X
CADC-31398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist