Organization
KENNETH S. CHING, MD., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH S CHING MD (OWNER/PRESIDENT)
(209) 529-9603
Entity
Organization
Contact information
Practice address
1205 EAST NORTH STREET, MANTECA, CA 95336
(209) 823-3111
(800) 374-4232
Mailing address
817 COFFEE ROAD, C3, MODESTO, CA 95355
(209) 529-9603
(209) 529-6610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G622561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G6225610
—
CA
Enumeration date
10/17/2012
Last updated
10/17/2012
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