Individual
DEREK BRYAN CHINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4520 EXECUTIVE DR, SAN DIEGO, CA 92121-3018
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A17846
CA
207RP1001X
Pulmonary Disease Physician
Primary
20A17846
CA
Other
Enumeration date
04/24/2018
Last updated
05/27/2025
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