Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | G037837 | CA |
NPI | 1013921907 |
---|---|
Provider Name | George K Ching JR. |
First Address | Brawley, CA 92227-2426 |
Second Address | Brawley, CA 92227-2426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 23/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G378370 | (05) | CA |
A89649 | (02) |