Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | A414305 | CA |
Y | 213ES0000X | Sports Medicine | A414305 | CA |
NPI | 1043500085 |
---|---|
Provider Name | Nancy Ting |
First Address | Mountain View, CA 94040-6203 |
Second Address | Sunnyvale, CA 94086-6367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 13/12/2017 |