Provider Demographics
NPI:1932438702
Name:HERBERT S. CHIN, M.D. INC.
Entity Type:Organization
Organization Name:HERBERT S. CHIN, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:SIM-ON
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-696-0444
Mailing Address - Street 1:9209 COLIMA RD STE 3600
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-1820
Mailing Address - Country:US
Mailing Address - Phone:562-696-0444
Mailing Address - Fax:562-696-0446
Practice Address - Street 1:9209 COLIMA RD STE 3600
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1820
Practice Address - Country:US
Practice Address - Phone:562-696-0444
Practice Address - Fax:562-696-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA065244261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACY398AMedicare PIN
CAG37825Medicare UPIN