Healthcare Provider Details

I. General information

NPI: 1801933973
Provider Name (Legal Business Name): JOSEPH CHI NG L.AC., OMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1567 POWELL ST
SAN FRANCISCO CA
94133-3805
US

IV. Provider business mailing address

1567 POWELL ST
SAN FRANCISCO CA
94133-3805
US

V. Phone/Fax

Practice location:
  • Phone: 415-397-6100
  • Fax: 415-982-6933
Mailing address:
  • Phone: 415-397-6100
  • Fax: 415-982-6933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC0005820
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: