Individual
DR. RAYMOND CHINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 BERGER AVE, SUITE 200, SAN DIEGO, CA 92123-4233
(619) 846-5890
(858) 939-3968
Mailing address
3131 BERGER AVE, SUITE 200, SAN DIEGO, CA 92123-4233
(619) 846-5890
(858) 939-3968
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G31645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G316450
—
CA
01
—
G31645
MEDICARE
CA
Enumeration date
08/31/2005
Last updated
11/08/2016
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