MEDICARE: DR. VIVIAN TING MD

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	208200000X	Plastic Surgery Physician	G86853	CA
2	208600000X	Surgery Physician	G86853	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982662045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIVIAN TING MD

Provider Business Mailing Address
First Line	:	1776 YGNACIO VALLEY RD
Second Line	:	STE 202
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-3125
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 YGNACIO VALLEY RD
Second Line	:	STE 202
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-3125
Country	:	US
Telephone Number	:
Fax Number	:	415-476-4001

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	10/13/2016

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Directions to “ DR. VIVIAN TING MD” Practice Location

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