Basic Information
| Provider Information | |||||||||
| NPI: | 1871178954 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIN | ||||||||
| FirstName: | CHIH-TING | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4618 PECK RD UNIT D | ||||||||
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| City: | EL MONTE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917324825 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148788306 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1642 W AVENUE J | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 935342814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6619428463 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2021 | ||||||||
| LastUpdateDate: | 03/10/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 17939 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.