Individual
DR. BRUCE DARRELL CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5050 LAGUNA BLVD STE 113, ELK GROVE, CA 95758-4151
(916) 684-7070
(916) 684-8048
Mailing address
5050 LAGUNA BLVD STE 113, ELK GROVE, CA 95758-4151
(916) 684-7070
(916) 684-8048
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8208T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0082080
—
CA
Enumeration date
01/25/2007
Last updated
06/01/2011
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