Provider Demographics
NPI:1992943427
Name:SPEER, LIN CHENG (LAC, OMD, PHD)
Entity type:Individual
Prefix:MRS
First Name:LIN
Middle Name:CHENG
Last Name:SPEER
Suffix:
Gender:F
Credentials:LAC, OMD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 WILSHIRE BLVD.
Mailing Address - Street 2:SUITE #203
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401
Mailing Address - Country:US
Mailing Address - Phone:310-395-1952
Mailing Address - Fax:310-319-9286
Practice Address - Street 1:1003 WILSHIRE BLVD.
Practice Address - Street 2:SUITE #203
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401
Practice Address - Country:US
Practice Address - Phone:310-395-1952
Practice Address - Fax:310-319-9286
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4548171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist