Individual
DR. JIMMY CHANBONPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1654 S EL MOLINO AVE, SAN MARINO, CA 91108-1701
(626) 285-5700
(626) 285-0700
Mailing address
1654 S EL MOLINO AVE, SAN MARINO, CA 91108-1701
(626) 285-5700
(626) 285-0700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A39381
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A39381
—
CA
05
—
1699859520
—
CA
Enumeration date
10/25/2006
Last updated
10/10/2016
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