Provider Demographics
NPI:1861807729
Name:LIN, CHRISTINE CJ (LAC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CJ
Last Name:LIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1630 OAKLAND RD STE A117
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2461
Mailing Address - Country:US
Mailing Address - Phone:408-436-8055
Mailing Address - Fax:408-436-8701
Practice Address - Street 1:1630 OAKLAND RD STE A117
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2461
Practice Address - Country:US
Practice Address - Phone:408-436-8055
Practice Address - Fax:408-436-8701
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC9881171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist