Provider Demographics
NPI:1699360610
Name:CHIN, ALEXANDER DA-KONG (DPT)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:DA-KONG
Last Name:CHIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:CHIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:20928 GARDEN GATE DR
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-1808
Mailing Address - Country:US
Mailing Address - Phone:408-966-7977
Mailing Address - Fax:
Practice Address - Street 1:1197 E ARQUES AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-3904
Practice Address - Country:US
Practice Address - Phone:408-773-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2999972251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic