Individual
DR. VIVIAN TING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1776 YGNACIO VALLEY RD, STE 202, WALNUT CREEK, CA 94598-3125
(415) 476-4001
Mailing address
1776 YGNACIO VALLEY RD, STE 202, WALNUT CREEK, CA 94598-3125
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G86853
CA
208600000X
Surgery Physician
G86853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G8685300
—
CA
Enumeration date
05/01/2006
Last updated
10/13/2016
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