Organization Active NPI

Samuel Chin Medical Corporation

  • Psychiatric Hospital Unit
  • Los Alamitos, CA
National Provider Identifier
1447271697
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
A77228 Issued in CA
Legal business name
SAMUEL CHIN MEDICAL CORPORATION
Practice address
3751 Katella Ave
Los Alamitos, CA 90720-3101
Phone
(562) 799-3234
NPI assigned
Jul 22, 2006
Last updated
Feb 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Dr. Samuel Chin, M.D.
Title
Ceo
Phone
(909) 278-8831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X A77228 CA Primary

Addresses

Primary practice location

3751 Katella Ave
Los Alamitos, CA 90720-3101

Mailing address

27742 Agate Canyon Dr
Laguna Niguel, CA 92677-4057
Phone (909) 278-8831

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1447271697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27742 AGATE CANYON DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774057",
            "telephone_number": "909-278-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203101",
            "telephone_number": "562-799-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL CHIN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-278-8831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "A77228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.