Individual
DR. CHANG TSAI LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 E 7TH ST, SUITE H, UPLAND, CA 91786-6701
(909) 985-1557
(909) 985-2414
Mailing address
360 E 7TH ST, SUITE H, UPLAND, CA 91786-6701
(909) 985-1557
(909) 985-2414
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A29555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A295550
—
CA
Enumeration date
08/30/2006
Last updated
07/08/2007
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