Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A155679 | CA |
NPI | 1023436391 |
---|---|
Provider Name | John Francis Ling III |
First Address | Lakewood, CA 90805-4579 |
Second Address | Lakewood, CA 90805-4579 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2014 |
Last Update Date | 17/04/2020 |