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Organization
THERESA CHINN, M.D., INC.
Active
Organization
THERESA CHINN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA CHINN M.D. (PRESIDENT)
(818) 766-2110
Entity
Organization
Contact information
Practice address
12660 RIVERSIDE DR, SUITE 110, NORTH HOLLYWOOD, CA 91607-3429
(818) 766-2110
(818) 508-1648
Mailing address
12660 RIVERSIDE DR, SUITE 110, NORTH HOLLYWOOD, CA 91607-3429
(818) 766-2110
(818) 508-1648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G81054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G810540
—
CA
Enumeration date
01/19/2007
Last updated
08/22/2020
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