Individual
DR. CRAIGHTON CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 COTTONWOOD ST, SUITE 205, WOODLAND, CA 95695-5131
(530) 668-2600
(530) 406-0352
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 379-2861
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G66564
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G665640
BLUE SHIELD
CA
05
—
00G665640
—
CA
01
—
040017986
RR MEDICARE
CA
Enumeration date
07/19/2006
Last updated
04/06/2017
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