Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 13070T | CA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 13070T | CA |
NPI | 1124191556 |
---|---|
Provider Name | Dr. Annie Tsuen Chin |
First Address | San Diego, CA 92123-2773 |
Second Address | San Diego, CA 92123-2773 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 19/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
SD0130700 | (05) | CA |