Provider Demographics
NPI:1649697079
Name:CHIN, RACHEL JINLAN (DO)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:JINLAN
Last Name:CHIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12665 GARDEN GROVE BLVD STE 713
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843-1921
Mailing Address - Country:US
Mailing Address - Phone:714-537-6595
Mailing Address - Fax:
Practice Address - Street 1:2222 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3220
Practice Address - Country:US
Practice Address - Phone:714-542-1331
Practice Address - Fax:714-542-4758
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2021-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A15514208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics