Jeremy W Chin, MD
Radiology, Diagnostic Radiology in Northridge, California
1700229994- Practice location
- 18436 Roscoe Blvd, Northridge, CA 91325-4107
- Phone
- 818-435-1400
- Fax
- —
- Last updated
- August 26, 2020
Jeremy Wong Chin is a Radiology, Diagnostic Radiology based in Northridge, CA. Jeremy Wong Chin practices in Northridge, CA and has the professional credentials of MD. The NPI Number for Jeremy Wong Chin is 1700229994 and holds a License No. A159035 (CA). The current practice location address for Jeremy Wong Chin is 18436 Roscoe Blvd, Northridge, CA 91325-4107 and can be reached out via phone at 818-435-1400.
Provider Profile Details
- NPI Number
- 1700229994
- Provider Name
- Jeremy Wong Chin
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 18436 Roscoe Blvd, Northridge, CA 91325-4107
- Phone Number
- 818-435-1400
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 8, 2013
- Last Update Date
- August 26, 2020
- Certification Date
- August 26, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18436 Roscoe Blvd
Northridge, CA 91325-4107 - City
- Northridge
- State
- California
- Zip
- 91325-4107
- Phone Number
- 818-435-1400
Provider Business Mailing Address Details
- Address
- 4100 Guardian St Ste 205
Simi Valley, CA 93063-6721 - City
- Simi Valley
- State
- CA
- Zip
- 93063-6721
- Phone Number
- 855-504-4544
- Fax Number
- 805-577-2018
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- A159035
- License State (2)
- CA
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Northridge, CA
View all Radiology, Diagnostic Radiology providers in Northridge →Frequently Asked Questions
What is the NPI number of Jeremy W Chin, MD?
The NPI number of Jeremy W Chin, MD is 1700229994. It was assigned on April 8, 2013 and is currently active in the NPPES registry.
What is the specialty of Jeremy W Chin, MD?
Jeremy W Chin, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CA under license number A159035.
Where does Jeremy W Chin, MD practice?
The practice location is 18436 Roscoe Blvd, Northridge, CA 91325-4107. The office can be reached at 818-435-1400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700229994 directly on the NPPES registry website.