Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | E-3380 | CA |
N | 222Z00000X | Podiatrist | E-3380 | CA |
Y | 213ES0131X | Foot Surgery | E-3380 | CA |
NPI | 1326038274 |
---|---|
Provider Name | Dr. Benedict Y.h. Ching |
First Address | Fountain Valley, CA 92708-6728 |
Second Address | Fountain Valley, CA 92708-6728 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 28/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E33800 | ID (01) | CA |
8623322 | (05) | CA |
U11986 | (02) | CA |