MEDICARE: DR. SHIGERU CHINO 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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	A21671	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	:	1982604781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHIGERU CHINO M.D.

Provider Business Mailing Address
First Line	:	27601 FORBES RD
Second Line	:	SUITE 58
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-1201
Country	:	US
Telephone Number	:	949-348-0459
Fax Number	:	949-348-9314

Provider Business Practice Location Address
First Line	:	27601 FORBES RD
Second Line	:	SUITE 58
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-1201
Country	:	US
Telephone Number	:	949-348-0459
Fax Number	:	949-348-9314

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	07/08/2007

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