Individual
JAMES C JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1283 CONWAY AVE, COSTA MESA, CA 92626-2714
(714) 222-2401
Mailing address
1283 CONWAY AVE, COSTA MESA, CA 92626-2714
(714) 222-2401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
682809
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA4274
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2012
Last updated
11/30/2021
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