Kevin Lee Chin, DDS
Individual provider Active NPI Dentist · Temple City, CA
NPI 1487039459 · NPPES record last updated Jul 26, 2017
Key facts
- NPI
- 1487039459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 64696 (CA)
- Practice address
- 9802 Las Tunas Dr
Temple City, CA 91780-2208 - Phone
- (626) 287-8333
- NPI assigned
- Jul 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64696 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrea Chien DDS Inc | Past |
Accepting new patients | |
| Chien & Li Dental, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 64696 | CA | Yes |
Addresses
Primary practice location
9802 Las Tunas Dr
Temple City, CA 91780-2208
Mailing address
2850 Kelvin Ave Apt 446
Irvine, CA 92614-0116
Other providers in Temple City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.