Healthcare Provider Details

I. General information

NPI: 1922330638
Provider Name (Legal Business Name): CHRISTOPHER CHING PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2010
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 HOWARD ST # 130
SAN FRANCISCO CA
94103-2638
US

IV. Provider business mailing address

1380 HOWARD ST # 130
SAN FRANCISCO CA
94103-2638
US

V. Phone/Fax

Practice location:
  • Phone: 415-255-3659
  • Fax:
Mailing address:
  • Phone: 415-255-3659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number60371
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number60371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: