Provider Demographics
NPI:1902047921
Name:CHRISTINA HSIN-CHIEH LIN, DDS, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:CHRISTINA HSIN-CHIEH LIN, DDS, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:HSIN-CHIEH
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-505-0057
Mailing Address - Street 1:201 LAURSEN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4417
Mailing Address - Country:US
Mailing Address - Phone:951-765-0608
Mailing Address - Fax:951-765-0626
Practice Address - Street 1:201 LAURSEN ST
Practice Address - Street 2:SUITE B
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4417
Practice Address - Country:US
Practice Address - Phone:951-765-0608
Practice Address - Fax:951-765-0626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-20
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA531571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA525117Medicaid