Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0201X | Pediatric Allergist | C40246 | CA |
N | 2080P0214X | Pediatric Pulmonologist | C40246 | CA |
NPI | 1811093305 |
---|---|
Provider Name | Dr. Terry Chin |
First Address | Long Beach, CA 90801-1307 |
Second Address | Long Beach, CA 90806-1701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A88171 | (02) | CA |