Individual
CHAZ VINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(951) 788-3000
Mailing address
400 LAKESIDE AVE, REDLANDS, CA 92373-5759
(925) 639-2358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56136
CA
Other
Enumeration date
10/13/2018
Last updated
02/18/2023
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