Individual
SHINTARO CHIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11175 CAMPUS STREET, COLEMAN PAVILION 21111, LOMA LINDA, CA 92354
(347) 446-4228
Mailing address
2000 TRANS MOUNTAIN RD STE B, EL PASO, TX 79911-3602
(915) 215-8000
(915) 215-8674
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A153896
CA
208600000X
Surgery Physician
Primary
S3504
TX
Other
Enumeration date
04/18/2012
Last updated
06/01/2020
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