Individual provider Active NPI

Yuanguang Gloria Lin, LAC.

  • Acupuncturist
  • Pasadena, CA
National Provider Identifier
1750568341
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 11939 Issued in CA
Practice address
281 N Altadena Dr
Pasadena, CA 91107-3364
Phone
(626) 683-0678
Fax
(626) 792-3198
NPI assigned
Jan 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 11939 CA Primary

Addresses

Primary practice location

281 N Altadena Dr
Pasadena, CA 91107-3364

Mailing address

281 N Altadena Dr
Pasadena, CA 91107-3364
Phone (626) 683-0678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC 11939CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1750568341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 N ALTADENA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073364",
            "telephone_number": "626-683-0678",
            "fax_number": "626-792-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 N ALTADENA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073364",
            "telephone_number": "626-683-0678",
            "fax_number": "626-792-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "YUANGUANG",
        "middle_name": "GLORIA",
        "credential": "LAC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 11939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.