Provider Demographics
NPI:1023494887
Name:MADRINAN, TING FANG CHIN
Entity type:Individual
Prefix:
First Name:TING FANG CHIN
Middle Name:
Last Name:MADRINAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WINTERBRANCH
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4604
Mailing Address - Country:US
Mailing Address - Phone:626-831-8010
Mailing Address - Fax:
Practice Address - Street 1:23 WINTERBRANCH
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4604
Practice Address - Country:US
Practice Address - Phone:626-831-8010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16661171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist