Provider Demographics
NPI:1114252483
Name:CHIN-KAPLAN, TINA ELAINE (LAC)
Entity Type:Individual
Prefix:MRS
First Name:TINA
Middle Name:ELAINE
Last Name:CHIN-KAPLAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 VANDEWATER ST. APT 301
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133
Mailing Address - Country:US
Mailing Address - Phone:415-640-2341
Mailing Address - Fax:
Practice Address - Street 1:340 BRANNAN ST. STE. 407
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107
Practice Address - Country:US
Practice Address - Phone:415-640-2341
Practice Address - Fax:415-926-5939
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13126171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist