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NPI Code Detail

MEDICARE: DR. RAYMOND CHINN M.D.

MEDICARE: DR. RAYMOND CHINN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianG31645CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2G31645OTHERCAMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134113509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAYMOND CHINN M.D.
Provider Business Mailing Address
First Line : 3131 BERGER AVE
Second Line : SUITE 200
City : SAN DIEGO
State : CA
Zip : 92123-4233
Country : US
Telephone Number : 619-846-5890
Fax Number : 858-939-3968
Provider Business Practice Location Address
First Line : 3131 BERGER AVE
Second Line : SUITE 200
City : SAN DIEGO
State : CA
Zip : 92123-4233
Country : US
Telephone Number : 619-846-5890
Fax Number : 858-939-3968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 11/08/2016

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