Provider Demographics
NPI:1679510465
Name:CHIN, FEE SEAN JANE (MD)
Entity Type:Individual
Prefix:
First Name:FEE SEAN JANE
Middle Name:
Last Name:CHIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6386 ALVARADO CT STE 210
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-4907
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15611 POMERADO RD STE 535
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2437
Practice Address - Country:US
Practice Address - Phone:858-279-1223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2023-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN449342084P0804X
CAA966452084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FM15-23797OtherUNITED BEHAVIORAL HEALTH
FM1033115OtherPREFERREDONE
MN938196100Medicaid
MN169890OtherUCARE MINNESOTA
MN166M1CHOtherBLUE SHIELD OF MN
MNHP37452OtherHEALTHPARTNERS
MN169890OtherUCARE MINNESOTA
MNHP37452OtherHEALTHPARTNERS