Individual
DR. WARREN BRUCE CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2448 GUERNEVILLE RD, SANTA ROSA, CA 95403-4175
(707) 575-5000
(707) 575-5002
Mailing address
2448 GUERNEVILLE RD, SANTA ROSA, CA 95403-4175
(707) 575-5000
(707) 575-5002
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A75147
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A751470
CIGNA DME
CA
01
—
A75147
STATE LICENSE
CA
Enumeration date
08/30/2006
Last updated
02/26/2018
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