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NPI Code Detail

MEDICARE: EIRENE DING

MEDICARE: EIRENE DING
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1316884570
Entity Type Code : Individual
Provider Name (Legal Business Name) : EIRENE DING
Provider Business Mailing Address
First Line : 12609 PACATO CIR S
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-2354
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4201 CENTRAL AVE NW STE F1
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87105-1669
Country : US
Telephone Number : 505-843-7172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ EIRENE DING ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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