Provider Demographics
NPI:1700056157
Name:CHIN, RODNEY KEVIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:KEVIN
Last Name:CHIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4463 CALLE MAR DE ARMONIA
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2661
Mailing Address - Country:US
Mailing Address - Phone:858-350-9575
Mailing Address - Fax:
Practice Address - Street 1:310 SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-7702
Practice Address - Country:US
Practice Address - Phone:760-630-5723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-01
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13672183500000X
IL051.033604183500000X
HI2480183500000X
CA35403183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist