Doctor Name: | LING JING |
NPI Number: | 1073810636 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 20A14260 |
Business Practice Address: | 8901 Wisconsin Ave Nnmc - Internal Medicine Dept - Residency Program Bethesda, MD - 208895600 |
Business Phone Number: | 7139276007 |
Business Fax Number: | |
Mailing Address: | 2051 Cushing Rd, SAN DIEGO |
State: | CA |
Postal Code: | 921066173 |
Phone Number: | 7135240173 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2011 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A14260 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |