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NPI Code Detail

MEDICARE: DR. SOYEON CHIN M.D.

MEDICARE: DR. SOYEON CHIN M.D.
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
1208D00000XGeneral Practice PhysicianA102554CA

General Provider Information

NPI Number : 1841480076
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOYEON CHIN M.D.
Provider Business Mailing Address
First Line : 3727 W 6TH ST STE 210
Second Line :
City : LOS ANGELES
State : CA
Zip : 90020-5108
Country : US
Telephone Number : 213-235-2500
Fax Number :
Provider Business Practice Location Address
First Line : 3255 WILSHIRE BLVD STE 120
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-1405
Country : US
Telephone Number : 213-235-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2007
Last Update Date : 06/27/2024

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Directions to “ DR. SOYEON CHIN M.D.” Practice Location

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