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Organization

STEPHEN CHINN OD A PROFESSIONAL CORPERATION DBA AS STEPHEN CHINN OD

Active
Other names
STEPHEN CHINN OD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN CHINN O.D. (OPTOMETRIST)
(619) 280-0664
Entity
Organization

Contact information

Practice address
2811 UNIVERSITY AVE, SUITE C, SAN DIEGO, CA 92104-2904
(619) 280-0664
(619) 294-8100
Mailing address
2811 UNIVERSITY AVE, SUITE C, SAN DIEGO, CA 92104-2904
(619) 280-0664
(619) 294-8100

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
5373TPL
CA

Other

Enumeration date
09/10/2010
Last updated
09/10/2010
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