Chin, Kenneth W

Chin, Kenneth W is an sole proprietor health care provider with primary practice located at 18133 Ventura Blvd Ste 100 , Tarzana CA 91356-3641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Chin, Kenneth W can be contacted via phone (818) 933-2020.

Contact Information

Primary practice address
18133 Ventura Blvd Ste 100 Tarzana CA 91356-3641
Phone: (818) 933-2020
Fax: (818) 817-7668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G29660 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X G29660 California

Profile Details

NPI number 1902888704
LBN Legal business name Chin, Kenneth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Nov 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902888704 NPPES
California MEDICAID 00G296600

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