Individual
MR. DOUGLAS L. CHIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-1818
(415) 353-1552
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119390
—
CA
Enumeration date
06/12/2006
Last updated
07/09/2007
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