Individual
JOHN JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7300 N FRESNO ST DEPT OF, FRESNO, CA 93720-2942
(504) 319-6165
Mailing address
2126 E BLUFF VIEW DR, FRESNO, CA 93730-7070
(504) 319-6165
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
199911
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4J520
—
LA
Enumeration date
03/02/2007
Last updated
04/01/2023
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