MEDICARE: WILLIAM WEI-MING TING M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	A82266	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A822660	OTHER	CA	BLUE SHIELD PROV #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235105446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM WEI-MING TING M.D.

Provider Business Mailing Address
First Line	:	2262 CAMINO RAMON
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1353
Country	:	US
Telephone Number	:	925-328-0255
Fax Number	:	925-328-0257

Provider Business Practice Location Address
First Line	:	2262 CAMINO RAMON
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1353
Country	:	US
Telephone Number	:	925-328-0255
Fax Number	:	925-328-0257

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	07/23/2020

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