Lin, Jeannie Chang

Lin, Jeannie Chang is an sole proprietor health care provider with primary practice located at 2707 E Valley Blvd Suite 109, West Covina CA 91792-3195. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Lin, Jeannie Chang can be contacted via phone (626) 956-8024.

Contact Information

Primary practice address
2707 E Valley Blvd Suite 109 West Covina CA 91792-3195
Phone: (626) 956-8024
Fax: (310) 956-8010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A78339 California

Profile Details

NPI number 1306870050
LBN Legal business name Lin, Jeannie Chang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Oct 15th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306870050 NPPES
California MEDICAID 00A783390

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