Doctor Name: | DR. JUSTIN CHIEN-YO LIN |
NPI Number: | 1063608891 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2305205106 |
Business Practice Address: | 14661 Myford Rd Suite C Tustin, CA - 927807205 |
Business Phone Number: | 7149003880 |
Business Fax Number: | 7147310932 |
Mailing Address: | 14661 Myford Rd, Suite C TUSTIN |
State: | CA |
Postal Code: | 927807205 |
Phone Number: | 7149003880 |
Fax Number: | 7147310932 |
NPI Enumeration Date: | 09/14/2007 |
NPI Last Update Date: | 12/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 2305205106 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |