Kenneth W. Chin, M.D., Incorporated
LBN: Kenneth W. Chin, M.D., Incorporated
Kenneth W. Chin, M.D., Incorporated is an health care organization with primary practice located at 16311 Ventura Blvd Suite120, Encino CA 91436-2124. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as the primary health care specialty.
Kenneth W. Chin, M.D., Incorporated can be contacted via phone (818) 817-7707, or through Chin, Kenneth W via phone (818) 705-0745.
Contact Information
Primary practice address
16311 Ventura Blvd Suite120
Encino CA 91436-2124
Phone: (818) 817-7707
Fax: (818) 817-7727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | G29660 | California |
Profile Details
| NPI number | 1073522314 |
|---|---|
| LBN Legal business name | Kenneth W. Chin, M.D., Incorporated |
| DBA Doing business as | |
| Authorized official | Chin, Kenneth W Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Sep 28th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073522314 | NPPES |
| California | Other | 00G296600 | BLUE SHIELD |
| California | MEDICAID | 00G296600 | BLUE SHIELD |
| California | MEDICAID | GR0106039 | BLUE SHIELD |
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