Park, Thomas Chin

Park, Thomas Chin is an individual health care provider with primary practice located at 2725 Capitol Ave Suite 402, Sacramento CA 95816-6004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Park, Thomas Chin can be contacted via phone (916) 262-9400.

Contact Information

Primary practice address
2725 Capitol Ave Suite 402 Sacramento CA 95816-6004
Fax: (916) 262-9399
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G68104 California

Profile Details

NPI number 1609976547
LBN Legal business name Park, Thomas Chin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated May 18th, 2015 - about 9 years ago

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 1609976547 NPPES
California MEDICAID 00G681041
California Other 770003054

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