Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT 23582 | CA |
NPI | 1053446500 |
---|---|
Provider Name | Dr. Alton Ching |
First Address | San Carlos, CA 94070-3919 |
Second Address | San Carlos, CA 94070-3919 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 11/07/2007 |