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Individual

ALBERT S JIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16200 SAND CANYON AVE, IRVINE, CA 92618-3714
(949) 517-3010
Mailing address
68 CLIFFORD, IRVINE, CA 92618-8866
(949) 419-9914

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A64592
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A645920
CA
Enumeration date
05/18/2006
Last updated
12/06/2021
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