Provider Demographics
NPI:1437168614
Name:CHINN, FRANKLIN J JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:J
Last Name:CHINN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-5336
Practice Address - Fax:916-733-5385
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG521982083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G521980Medicaid
CA502797OtherHEALTH NET
CA507468OtherFIRST HEALTH
CA90024850OtherPACIFICARE
CA00G521980OtherBLUE SHIELD
CA1272483OtherGREAT WEST
CA26515OtherINTERPLAN
CA3741157OtherCIGNA
CA4133112OtherAETNA
CA000810342873OtherPHCS
CA786546OtherUNITED
CAG52198OtherBLUE CROSS
CAMCMG168400OtherWESTERN HEALTH ADVANTAGE
A52197Medicare UPIN
CA507468OtherFIRST HEALTH