Healthcare Provider Details

I. General information

NPI: 1760010516
Provider Name (Legal Business Name): NATALIE MUN-YEE CHIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 09/03/2023
Certification Date: 09/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64-1032 MAMALAHOA HWY STE 204
KAMUELA HI
96743-8441
US

IV. Provider business mailing address

64-1032 MAMALAHOA HWY STE 204
KAMUELA HI
96743-8441
US

V. Phone/Fax

Practice location:
  • Phone: 808-887-6543
  • Fax:
Mailing address:
  • Phone: 808-887-6543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberML61061323
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD-23625
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: