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Dr. Shan Ju Lin, LAC (Acupuncturist)

Acupuncturist in Winnetka, CA. Individual provider (NPI-1).

NPI number1699409342
StatusActive
Last updated in NPPESJul 10, 2022

Details

NPI
1699409342
Entity type
Individual (NPI-1)
Name
Dr. Shan Ju Lin
Credential
LAC (Acupuncturist)
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 10, 2022
Certification date
Jul 10, 2022
Last updated
Jul 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist15565CAYes

Practice location

7111 Winnetka Ave Ste 1
Winnetka, CA 91306-3673

Phone 805-297-0632

Mailing address

105 Marblehead St
Simi Valley, CA 93065-7053

Phone 805-522-3508

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