Healthcare Provider Details

I. General information

NPI: 1548171127
Provider Name (Legal Business Name): STEVEN JEROME DING JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 N CALIFORNIA ST
STOCKTON CA
95202-1552
US

IV. Provider business mailing address

6738 FREDERICKSBURG PL
STOCKTON CA
95207-2419
US

V. Phone/Fax

Practice location:
  • Phone: 209-468-8700
  • Fax:
Mailing address:
  • Phone: 209-401-4908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: