Individual
DR. GRACE TING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
(626) 289-5454
Mailing address
1530 KENSINGTON RD, SAN MARINO, CA 91108-1926
(626) 905-1595
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A67999
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A679990
BLUE SHIELD
—
05
—
00A679990
—
CA
01
—
A67999
BLUE CROSS
CA
Enumeration date
06/09/2006
Last updated
12/14/2007
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