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Individual

AMANDA CHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2071 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660-6505
(949) 759-7120
Mailing address
24422 AVENIDA DE LA CARLOTA STE 300, LAGUNA HILLS, CA 92653-3628
(949) 599-2434

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95025128
CA
363L00000X
Nurse Practitioner
Primary
95025128
CA

Other

Enumeration date
02/27/2019
Last updated
02/04/2026
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