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NPI Code Detail

MEDICARE: LIN DING MD

MEDICARE: LIN DING MD
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
1207L00000XAnesthesiology PhysicianA61803CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200A618030OTHERCABLUE SHIELD OF CALIFORNIA

General Provider Information

NPI Number : 1538119623
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIN DING MD
Provider Business Mailing Address
First Line : PO BOX 7096
Second Line :
City : STOCKTON
State : CA
Zip : 95267-0096
Country : US
Telephone Number : 209-956-7725
Fax Number : 209-956-7733
Provider Business Practice Location Address
First Line : 2755 HERNDON AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93611-6800
Country : US
Telephone Number : 559-324-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 11/15/2016

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Directions to “ LIN DING MD” Practice Location

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