MEDICARE: DR. JULIE LAI WAI NG M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	F5533	CA

General Provider Information

NPI Number	:	1366674640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE LAI WAI NG M.D

Provider Business Mailing Address
First Line	:	1223 ARGUELLO BLVD APARTMENT # 5
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122
Country	:	US
Telephone Number	:	415-609-7612
Fax Number	:

Provider Business Practice Location Address
First Line	:	1223 ARGUELLO BLVD APT #5
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122
Country	:	US
Telephone Number	:	415-609-7612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	08/20/2009

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