Healthcare Provider Details

I. General information

NPI: 1326567355
Provider Name (Legal Business Name): PEGGY BIKKAY CHIN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2017
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N TUSTIN ST STE C
ORANGE CA
92867-7776
US

IV. Provider business mailing address

3565 ROSE AVE
LONG BEACH CA
90807-4925
US

V. Phone/Fax

Practice location:
  • Phone: 626-864-0561
  • Fax:
Mailing address:
  • Phone: 626-864-0561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCHR.0008692
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number33652
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number33652
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCHR.0008692
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: