Organization
GRACE TING, DPM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE TING DPM (OWNER)
(626) 289-4379
Entity
Organization
Contact information
Practice address
27 W MAIN ST, SUITE G, ALHAMBRA, CA 91801-3500
(626) 289-4379
(626) 289-4791
Mailing address
27 W MAIN ST, SUITE G, ALHAMBRA, CA 91801-3500
(626) 289-4379
(626) 289-4791
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3606
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRE001630
—
CA
05
—
GRE001631
—
CA
01
—
ZZZ08615Z
BLUE SHIELD PROVIDER ID
CA
Enumeration date
06/26/2006
Last updated
06/23/2014
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