Individual
DR. RUSSELL EUGENE CHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DANIEL BURNHAM CT STE 260C, SAN FRANCISCO, CA 94109-0463
(415) 502-5099
(415) 502-5097
Mailing address
1 DANIEL BURNHAM CT STE 260C, SAN FRANCISCO, CA 94109-0463
(415) 502-5099
(415) 502-5097
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G43021
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G430210
—
CA
01
—
W2223
PTAN MEDICARE
CA
Enumeration date
05/15/2006
Last updated
10/05/2021
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