Provider Demographics
NPI:1356438279
Name:CHINO, ERIC S (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:S
Last Name:CHINO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1930 VILLAGE CENTER CIR # 3-384A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-6238
Mailing Address - Country:US
Mailing Address - Phone:702-233-8346
Mailing Address - Fax:702-369-1903
Practice Address - Street 1:3150 N TENAYA WAY
Practice Address - Street 2:#560
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0443
Practice Address - Country:US
Practice Address - Phone:702-233-8346
Practice Address - Fax:702-369-1903
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2010-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV50182086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV36353Medicare PIN