Provider Demographics
NPI:1043468481
Name:YING, TINA TING-FANG (MSW)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:TING-FANG
Last Name:YING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6519 8TH AVE # 46
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043-4313
Mailing Address - Country:US
Mailing Address - Phone:323-750-6167
Mailing Address - Fax:
Practice Address - Street 1:6519 8TH AVE # 46
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90043-4313
Practice Address - Country:US
Practice Address - Phone:323-750-6167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA286211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical