Provider Demographics
NPI:1346068145
Name:CHEN, KATHERINE LIN
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LIN
Last Name:CHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1765 LANDESS AVE # 33
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-7019
Mailing Address - Country:US
Mailing Address - Phone:408-657-8899
Mailing Address - Fax:
Practice Address - Street 1:1469 RUE AVATI
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2550
Practice Address - Country:US
Practice Address - Phone:408-657-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist