Doctor Name: | MRS. ERICA H CHIN |
NPI Number: | 1013140219 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, NP, MS |
License Number: | 19314 |
Business Practice Address: | 1500 East Duarte Rd Duarte, CA - 910103000 |
Business Phone Number: | 6262564673 |
Business Fax Number: | 6264717155 |
Mailing Address: | 1333s Mayflower Ave 2, MONROVIA |
State: | CA |
Postal Code: | 910164066 |
Phone Number: | 6267753514 |
Fax Number: | 6264083911 |
NPI Enumeration Date: | 09/03/2009 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 19314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |