Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 33652 | CA |
N | 111NS0005X | Chiropractic Sports Physician | 33652 | CA |
NPI | 1326567355 |
---|---|
Provider Name | Dr. Peggy Bikkay Chin |
First Address | San Diego, CA 92127-1620 |
Second Address | San Diego, CA 92127-1620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2017 |
Last Update Date | 04/01/2018 |