Marian Tzu Miao Lin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS105814 Issued in CA

Practice address

1205 W. Renaissance Pkwy
Unit 240
Rialto, CA 92376

Phone

(909) 746-5000

Fax

(310) 820-0408

NPI assigned

Oct 6, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pakravan, Manavi & Cohen Dental Corporation

  • General Practice Dentistry
  • Rialto, CA
  • NPI 1942780853
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1275521072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 E. TRUCKEE WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92808",
            "telephone_number": "425-214-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W. RENAISSANCE PKWY",
            "address_2": "UNIT 240",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "92376",
            "telephone_number": "909-746-5000",
            "fax_number": "310-820-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "MARIAN",
        "middle_name": "TZU MIAO",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009812",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5049036",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lise Sirina Lieberman
• Lilibeth Swanson
• Dong Il Lim
• Luisa Limon
• Luz A Limon
• David Lindstrom, RN
• Linemed Health Services Inc
• Rogelio Lira
• David Ling Hui Liu, PHARMD
• Llaxmi RX Inc

• General Practice Dentistry in Rialto, CA
• Providers in Rialto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.