Provider Demographics
NPI:1003086125
Name:LIN, JUN (LAC)
Entity type:Individual
Prefix:MR
First Name:JUN
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11704 WILSHIRE BLVD STE 293
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1541
Mailing Address - Country:US
Mailing Address - Phone:310-575-8889
Mailing Address - Fax:310-575-9288
Practice Address - Street 1:11704 WILSHIRE BLVD STE 293
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-1541
Practice Address - Country:US
Practice Address - Phone:310-575-8889
Practice Address - Fax:310-575-9288
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9791171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist