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Brian Wai Wen Chin

Emergency Medicine

Allopathic & Osteopathic Physicians

8910 Villa La Jolla Dr, La Jolla, CA 92037-1701

PECOS Enrollment

This provider is enrolled in PECOS as BRIAN CHIN.

Based on the most recent information from CMS, provider Brian Wai Wen 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 yesterday at 11:51 AM.

Profile Details

Provider ID
1770140782
Provider Type
Individual
Full Name
Chin, Brian Wai Wen
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/24/2019
Last Updated
6/13/2024

Contact Information

Practice Location

8910 Villa La Jolla Dr, La Jolla, CA 92037-1701

(800) 926-8273

Unlisted Fax

Mailing Location

File 57326, Los Angeles, CA 90074-7326

(800) 926-8273

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A180593 California

Brian Wai Wen Chin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Tresenriter, Megan

Mcglone, Samantha

Schneir, Aaron

Young, Michael C

Patel, Raj J

Spiegler, Frederick Hollister

Grover, Ian R

Chan, Theodore C

Torres, Erick

Reilly, Ian