MEDICARE: TINA TINLAN CHIU 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	207L00000X	Anesthesiology Physician	A81830	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952340564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TINA TINLAN CHIU MD

Provider Business Mailing Address
First Line	:	PO BOX 39000
Second Line	:	DEPT 33995
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94139-0001
Country	:	US
Telephone Number	:	503-372-2740
Fax Number	:	503-372-2754

Provider Business Practice Location Address
First Line	:	99 MONTECILLO RD
Second Line	:
City	:	SAN RAFAEL
State	:	CA
Zip	:	94903-3308
Country	:	US
Telephone Number	:	415-444-2000
Fax Number	:

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	09/21/2022

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