Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | G39984 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | G39984 | CA |
N | 207RI0011X | Interventional Cardiology | G39984 | CA |
NPI | 1134291206 |
---|---|
Provider Name | John Chin |
First Address | Sacramento, CA 95865-5228 |
Second Address | Sacramento, CA 95816-5616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 03/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060034807 | RAILROAD MEDICARE (01) | CA |
GR0068235 | (05) | CA |