KENNETH W. CHIN M.D. INCORPORATED NPI 1073522314

NPI Information

  • NPI: 1073522314
  • Provider Name: KENNETH W. CHIN, M.D., INCORPORATED
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Address: 16311 VENTURA BLVD
    SUITE120
    ENCINO, CA
    ZIP 91436
  • Phone: (818) 817-7707

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NPI Details

KENNETH W. CHIN, M.D., INCORPORATED is a vascular and interventional radiology radiology in Encino, CA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. KENNETH W. CHIN, M.D., INCORPORATED NPI is 1073522314. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16311 VENTURA BLVD
SUITE120
ENCINO, CA
ZIP 91436-124
Phone: (818) 817-7707
Fax: (818) 817-7727

The provider's authorized official is Kenneth W Chin .
The authorized official title is Owner and has the following contact phone number (818) 705-0745.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 9/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyG29660CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WG29660TMEDICARE PINCALIFORNIA
200G296600OTHERCALIFORNIABLUE SHIELD
3WG29660EEMEDICARE PINCALIFORNIA
4WG29660VMEDICARE PINCALIFORNIA
5WG29660WMEDICARE PINCALIFORNIA
6GR0106039MEDICAIDCALIFORNIA
7WG29660AAMEDICARE PINCALIFORNIA
800G296600MEDICAIDCALIFORNIA
9A44101MEDICARE UPINCALIFORNIA
10BU740ZMEDICARE PINCALIFORNIA
11BU740YMEDICARE PINCALIFORNIA
12TP051AMEDICARE PINCALIFORNIA
13WG29660UMEDICARE PINCALIFORNIA
14WG29660ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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