Provider Demographics
NPI:1427442953
Name:CHIN'S ENTERPRISE CORP.
Entity type:Organization
Organization Name:CHIN'S ENTERPRISE CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-935-5408
Mailing Address - Street 1:9587 ARROW RTE STE D
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4551
Mailing Address - Country:US
Mailing Address - Phone:909-291-9030
Mailing Address - Fax:
Practice Address - Street 1:9587 ARROW RTE STE D
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4551
Practice Address - Country:US
Practice Address - Phone:909-291-9030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health