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Kathleen Alison Chin

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

1188 N Euclid St, Anaheim, CA 92801-1900

PECOS Enrollment

This provider is enrolled in PECOS as KATHLEEN CHIN.

Based on the most recent information from CMS, provider Kathleen Alison Chin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1235674177
Provider Type
Individual
Full Name
Chin, Kathleen Alison
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
1/2/2017
Last Updated
10/27/2023

Contact Information

Practice Location

1188 N Euclid St, Anaheim, CA 92801-1900

(833) 574-2273

Unlisted Fax

Mailing Location

1188 N Euclid St, Anaheim, CA 92801-1900

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 188678 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kathleen Alison Chin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Liu, Fred

Tran, Sinh

Ravi, Dave

Renewed Community Mental Health

Inland Psychiatric Medical Group, Inc

Gogna, Karun

Lee, Jae

Conscious Health Care

Chargualaf, Jullyn Cabrera

Stratton, Tyler E