{
"Npi": {
"NPI": "1821490970",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BENEDICT YH CHING",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "18111 BROOKHURST ST",
"SecondLineMailingAddress": "SUITE3400",
"MailingAddressCityName": "FOUNTAIN VALLEY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92708-6728",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "714-861-4631",
"MailingAddressFaxNumber": "714-861-4631",
"FirstLinePracticeLocationAddress": "18111 BROOKHURST ST",
"SecondLinePracticeLocationAddress": "SUITE 3400",
"PracticeLocationAddressCityName": "FOUNTAIN VALLEY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92708-6728",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "714-861-4637",
"PracticeLocationAddressFaxNumber": "714-861-4631",
"EnumerationDate": "09/19/2014",
"LastUpdateDate": "09/19/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHING",
"AuthorizedOfficialFirstName": "BENEDICT",
"AuthorizedOfficialMiddleName": "YH",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "714-861-4631",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "E3380",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": "E3380",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}