Provider Demographics
NPI:1780671586
Name:CHINEN, ALLAN BRUCE (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:BRUCE
Last Name:CHINEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 IRVING ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-2599
Mailing Address - Country:US
Mailing Address - Phone:415-564-3337
Mailing Address - Fax:415-564-3337
Practice Address - Street 1:525 IRVING ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-2599
Practice Address - Country:US
Practice Address - Phone:415-564-3337
Practice Address - Fax:415-564-3337
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0G430202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0G43020OtherMEDICAL LICENSE
CA0G43020OtherMEDICAL LICENSE