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Amber Marie Chin, PA

Physician Assistant in Rancho Cucamonga, CA. Individual provider (NPI-1).

NPI number1669675419
StatusActive
Last updated in NPPESNov 22, 2021

Details

NPI
1669675419
Entity type
Individual (NPI-1)
Name
Mrs. Amber Marie Chin
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 8, 2007
Certification date
Jan 21, 2020
Last updated
Nov 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistantpa17916CAYes
363A00000X Physician Assistant008171NY

Practice location

12739 N Overlook Dr
Rancho Cucamonga, CA 91739-2320

Phone 909-803-8550

Mailing address

148 Browning St
Upland, CA 91784-1318

Phone 909-981-5725

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