Ruben W. Chin Md, Inc | |
1717 W Ball Rd Anaheim CA 92804-5502 | |
(714) 776-7006 | |
(714) 776-7666 |
Full Name | Ruben W. Chin Md, Inc |
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Speciality | Clinic/Center |
Location | 1717 W Ball Rd, Anaheim, California |
Authorized Official Name and Position | Ruben W Chin (PRESIDENT) |
Authorized Official Contact | 7147767006 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ruben W. Chin Md, Inc 1717 W Ball Rd Anaheim CA 92804-5502 Ph: (714) 776-7006 | Ruben W. Chin Md, Inc 1717 W Ball Rd Anaheim CA 92804-5502 Ph: (714) 776-7006 |
NPI Number | 1588850093 |
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Provider Enumeration Date | 09/18/2007 |
Last Update Date | 04/28/2014 |
Medicare PECOS PAC ID | 0941244347 |
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Medicare Enrollment ID | O20050616000479 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588850093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A53452 (California) | Primary |
Provider Name | Ruben W Chin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902829450 PECOS PAC ID: 2860436268 Enrollment ID: I20050616000475 |
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