Chan, Lina
Chan, Lina is an individual health care provider with primary practice located at 122 La Casa Via #222, Walnut Creek CA 94598-3014. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chan, Lina can be contacted via phone (925) 947-0888.Contact Information
Primary practice address
122 La Casa Via #222
Walnut Creek CA 94598-3014
Phone: (925) 947-0888
Fax: (925) 947-4385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT11108 | California |
Profile Details
| NPI number | 1659358042 |
|---|---|
| LBN Legal business name | Chan, Lina |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Jan 7th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659358042 | NPPES |
| California | MEDICAID | SD0111080 |
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