MEDICARE: DR. CATHERINE M CHIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A97425	CA

General Provider Information

NPI Number	:	1265609481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE M CHIN MD

Provider Business Mailing Address
First Line	:	2350 W EL CAMINO REAL
Second Line	:	2ND FLOOR
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-6201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 REDWOOD BLVD
Second Line	:
City	:	NOVATO
State	:	CA
Zip	:	94945-3250
Country	:	US
Telephone Number	:	154-492-6585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	12/17/2021

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