Provider Demographics
NPI:1124543327
Name:CHIN, LAUREN KAY (RDHAP)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:KAY
Last Name:CHIN
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 WEBSTER ST STE 303
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2376
Mailing Address - Country:US
Mailing Address - Phone:415-923-3867
Mailing Address - Fax:415-923-3845
Practice Address - Street 1:2100 WEBSTER ST STE 303
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2376
Practice Address - Country:US
Practice Address - Phone:415-310-9016
Practice Address - Fax:415-923-3845
Is Sole Proprietor?:No
Enumeration Date:2017-08-08
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA634124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist