1699360610 NPI number — DR. ALEXANDER DA-KONG CHIN DPT

Table of content: DR. ALEXANDER DA-KONG CHIN DPT (NPI 1699360610)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699360610 NPI number — DR. ALEXANDER DA-KONG CHIN DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHIN
Provider First Name:
ALEXANDER
Provider Middle Name:
DA-KONG
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CHIN
Provider Other First Name:
ALEX
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DPT
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1699360610
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/27/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20928 GARDEN GATE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CUPERTINO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95014-1808
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-966-7977
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1197 E ARQUES AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUNNYVALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94085-3904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-773-9000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/02/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2251X0800X , with the licence number:  299997 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com