Provider Demographics
NPI:1487717971
Name:LIN, CHIA-YIN (MSN, RN, CNS)
Entity type:Individual
Prefix:
First Name:CHIA-YIN
Middle Name:
Last Name:LIN
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Gender:F
Credentials:MSN, RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1275 CENTRAL BLVD
Mailing Address - Street 2:APT 137
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2399
Mailing Address - Country:US
Mailing Address - Phone:510-752-2601
Mailing Address - Fax:510-752-7547
Practice Address - Street 1:280 W MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5642
Practice Address - Country:US
Practice Address - Phone:510-752-2601
Practice Address - Fax:510-752-7547
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA2380364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical