Provider Demographics
NPI:1700147527
Name:LIN, CHIHYI (DO)
Entity Type:Individual
Prefix:
First Name:CHIHYI
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 GRANT ROAD, SUITE E
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4378
Mailing Address - Country:US
Mailing Address - Phone:650-962-4370
Mailing Address - Fax:650-962-4380
Practice Address - Street 1:2660 GRANT RD STE E
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4344
Practice Address - Country:US
Practice Address - Phone:650-962-4370
Practice Address - Fax:650-962-4380
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A13865207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine