Michelle Chin

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95285446 Issued in CA

Practice address

11645 Wilshire Blvd Ste 605
Los Angeles, CA 90025-6842

Phone

(424) 644-2400

NPI assigned

Oct 6, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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  NPD
• Rejuva Medical Aesthetics, Inc.

  • Plastic and Reconstructive Surgery Physician
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  • NPI 1730772955
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1306561865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MALCOLM AVE PH 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246842",
            "telephone_number": "530-848-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 605",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256842",
            "telephone_number": "424-644-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95285446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nextech",
            "affiliation": "N",
            "address_1": "11645 Wilshire Blvd Ste 605",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900256842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Juanita B. Chin, PH.D., LCSW
• Katherine Joan Chin, PA
• Lussett Chin
• Mabel Lee Chin
• Makayla Nicole Chin
• Michelle Man-Si Chin, MD
• Patrick Chin III
• Phebe C Chin, MSRD
• Philip I Chin, DDS
• Robert Kaida Chin, MD, PHD

• Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.