Healthcare Provider Details

I. General information

NPI: 1699715847
Provider Name (Legal Business Name): BRIAN H. CHING D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD BLDG 3G
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

IV. Provider business mailing address

1 JARRETT WHITE ROAD, 3G DEPARTMENT OF RADIOLOGY
HONOLULU HI
96859
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-4198
  • Fax: 808-433-4688
Mailing address:
  • Phone: 808-433-4198
  • Fax: 808-433-4688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberDOS1114
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number20A7763
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: