Basic Information
| Provider Information | |||||||||
| NPI: | 1790995769 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHIN | ||||||||
| FirstName: | WILLIAM | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19191 S VERMONT AVE | ||||||||
| Address2: | S-200 | ||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905021018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103544209 | ||||||||
| FaxNumber: | 3105380671 | ||||||||
| Practice Location | |||||||||
| Address1: | 19191 S VERMONT AVE | ||||||||
| Address2: | S-200 | ||||||||
| City: | TORRANCE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 905021018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103544209 | ||||||||
| FaxNumber: | 3105380671 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | G18190 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.