Healthcare Provider Details

I. General information

NPI: 1033487160
Provider Name (Legal Business Name): AURORA MCALLISTER CHIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AURORA MCALLISTER MD

II. Dates (important events)

Enumeration Date: 12/03/2011
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 52ND ST
OAKLAND CA
94609-1809
US

IV. Provider business mailing address

1415 STANNAGE AVE
BERKELEY CA
94702-1031
US

V. Phone/Fax

Practice location:
  • Phone: 510-428-3885
  • Fax:
Mailing address:
  • Phone: 858-699-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA118979
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: