Provider Demographics
NPI:1881990646
Name:LIN, CHIH-CHENG (LAC)
Entity type:Individual
Prefix:
First Name:CHIH-CHENG
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10303 GARVEY AVE # A
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-2135
Mailing Address - Country:US
Mailing Address - Phone:626-731-2981
Mailing Address - Fax:
Practice Address - Street 1:10303 GARVEY AVE # A
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-2135
Practice Address - Country:US
Practice Address - Phone:626-731-2981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC12698171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist