Healthcare Provider Details

I. General information

NPI: 1487525168
Provider Name (Legal Business Name): JOSHUA CHIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 4TH ST FL 3
SAN FRANCISCO CA
94143-2351
US

IV. Provider business mailing address

1200 FUNSTON AVE
SAN FRANCISCO CA
94122-2106
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-1565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH88277
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number88277
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: