Thesea Chinn Md Mph Inc

NPI 1043235625 - Internal Medicine - 207R00000X

NPI Details
NPI 1043235625
Enumeration Date 07/13/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THERESA THERESA
Position CEO
Phone (818) 766-2110
Fax (818) 508-1463
Practice Location
12660 RIVERSIDE DR
STE 110
NORTH HOLLYWOOD CA, 91607-3430, US
Phone (818) 766-2110
Fax (818) 508-1463
Business Location
12660 RIVERSIDE DR
STE 110
NORTH HOLLYWOOD CA, 91607-3430, US
Phone (818) 766-2110
Fax (818) 508-1463
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G81054
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According to our database, Thesea Chinn Md Mph Inc NPI is 1043235625, taxonomy code is 207R00000X and license number is G81054, license state is located at California. Thesea Chinn Md Mph Inc physically located at 12660 Riverside Dr, North Hollywood CA, 91607-3430. NPI Number 1033115704 has the healthcare provider type.

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1043235625 NPI number is provided on an as is basis without warranty of any kind. 1043235625 is maintained by the National Plan & Provider Enumeration System. The contents of Thesea Chinn Md Mph Inc are for informational purposes only.