Provider Demographics
NPI:1902971088
Name:CHIN, MING YAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MING YAN
Middle Name:
Last Name:CHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3580 CALIFORNIA ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1725
Mailing Address - Country:US
Mailing Address - Phone:415-830-3090
Mailing Address - Fax:415-520-5191
Practice Address - Street 1:3580 CALIFORNIA ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1725
Practice Address - Country:US
Practice Address - Phone:415-830-3090
Practice Address - Fax:415-520-5191
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA061482208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics