Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | G25066 | CA |
NPI | 1134559313 |
---|---|
Provider Name | Donald Chapin |
First Address | Spring Valley, CA 91977-1415 |
Second Address | Spring Valley, CA 91977-1415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2013 |
Last Update Date | 25/11/2013 |