Individual
ANDREW SAMUEL ING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 GLASSON WAY, GRASS VALLEY, CA 95945-5723
(530) 263-3770
Mailing address
PO BOX 1248, ROSEVILLE, CA 95678-8248
(530) 263-3770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A063107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A631070
MEDI-CAL
CA
Enumeration date
10/10/2006
Last updated
07/08/2007
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