Individual
MARK CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6175 N FRESNO ST # 101, FRESNO, CA 93710-5207
(559) 435-9646
Mailing address
6175 N FRESNO ST # 101, FRESNO, CA 93710-5207
(559) 435-9646
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
G62156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G21560
—
CA
Enumeration date
08/30/2006
Last updated
06/01/2015
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