Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 04588 | |
Y | 222Z00000X | Podiatrist | 04588 | |
N | 224P00000X | Prosthetist | 04588 |
NPI | 1184212797 |
---|---|
Provider Name | Katherine Emily Ching |
First Address | Chula Vista, CA 91911-1304 |
Second Address | Chula Vista, CA 91911-1304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2021 |
Last Update Date | 12/09/2021 |