Organization
JACK C. LING M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CHIK-PUI LING M.D. (PRESIDENT)
(213) 719-0080
Entity
Organization
Contact information
Practice address
309 W BEVERLY BLVD, MONTEBELLO, CA 90640-4308
(323) 726-1222
(323) 725-5005
Mailing address
225 S LAKE AVE, 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G37386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G373860
BLUE SHIELD
CA
05
—
00G373860
—
CA
Enumeration date
08/03/2006
Last updated
03/11/2008
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