Individual
DARYL H CHINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
347 ANDRIEUX ST, SONOMA, CA 95476-6811
(707) 935-5235
(415) 883-8082
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418
(415) 883-8082
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G41514
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G415140
BLUE SHIELD
CA
05
—
00G415140
—
CA
01
—
00G415141
BLUE SHIELD OF CA
CA
01
—
P00280852
RAILROAD MEDICARE
—
Enumeration date
06/06/2006
Last updated
11/10/2011
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