| Corey C Chinn Md Llc | |
|
98-1079 Moanalua Rd Ste 450 Aiea HI 96701-4723 | |
| (808) 488-7747 | |
| Not Available |
| Full Name | Corey C Chinn Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 98-1079 Moanalua Rd Ste 450, Aiea, Hawaii |
| Authorized Official Name and Position | Corey C Chinn (OWNER) |
| Authorized Official Contact | 8082869730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corey C Chinn Md Llc 98-1079 Moanalua Rd Ste 450 Aiea HI 96701-4723 Ph: (808) 488-7747 | Corey C Chinn Md Llc 98-1079 Moanalua Rd Ste 450 Aiea HI 96701-4723 Ph: (808) 488-7747 |
| NPI Number | 1609542141 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 01/09/2025 |
| Medicare PECOS PAC ID | 5294131777 |
|---|---|
| Medicare Enrollment ID | O20210908003290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609542141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Corey C Chinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013407816 PECOS PAC ID: 6103222682 Enrollment ID: I20210908003340 |
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