Healthcare Provider Details

I. General information

NPI: 1487613105
Provider Name (Legal Business Name): FLORENCIO C CHING MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 W LA VETA AVE SUITE 101
ORANGE CA
92866-2607
US

IV. Provider business mailing address

302 W LA VETA AVE SUITE 101
ORANGE CA
92866-2607
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-0321
  • Fax: 714-633-9196
Mailing address:
  • Phone: 714-633-0321
  • Fax: 714-633-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA25467
License Number StateCA

VIII. Authorized Official

Name: DR. FLORENCIO C CHING
Title or Position: PRESIDENT
Credential: MD
Phone: 714-633-0321