Individual
DR. JEROME HSI-CHENG CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D.
Contact information
Practice address
95 MONTGOMERY DR, SUITE 102, SANTA ROSA, CA 95404-6630
(707) 576-1461
(707) 576-0648
Mailing address
95 MONTGOMERY DR, SUITE 102, SANTA ROSA, CA 95404-6630
(707) 576-1461
(707) 576-0648
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G65851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G658511
—
CA
Enumeration date
03/10/2007
Last updated
07/08/2007
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