Provider Demographics
NPI:1609673433
Name:JIN, ESTHER Y
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:Y
Last Name:JIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10302 WHIRLAWAY ST
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-4454
Mailing Address - Country:US
Mailing Address - Phone:213-200-1361
Mailing Address - Fax:
Practice Address - Street 1:10302 WHIRLAWAY ST
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4454
Practice Address - Country:US
Practice Address - Phone:213-200-1361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC20294171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist