Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 19869 | NV |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A157725 | CA |
N | 207YS0123X | Facial Plastic Surgeon | A157725 | CA |
NPI | 1720405004 |
---|---|
Provider Name | Harry Hsin-Jong Ching |
First Address | Las Vegas, NV 89102-1973 |
Second Address | Las Vegas, NV 89118-1896 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2014 |
Last Update Date | 30/11/2020 |