Healthcare Provider Details

I. General information

NPI: 1639345622
Provider Name (Legal Business Name): YUNG-PING CHIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 06/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OLD SAN FRANCISCO RD
SUNNYVALE CA
94086-6386
US

IV. Provider business mailing address

2350 W EL CAMINO REAL FL 2
MOUNTAIN VIEW CA
94040-6203
US

V. Phone/Fax

Practice location:
  • Phone: 408-730-4251
  • Fax: 310-206-5843
Mailing address:
  • Phone:
  • Fax: 310-206-5843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number141906
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberA110177
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: