Provider Demographics
NPI:1093775827
Name:ING, SIMON QUOC (DC)
Entity Type:Individual
Prefix:
First Name:SIMON
Middle Name:QUOC
Last Name:ING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 E GARVEY AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91755-1813
Mailing Address - Country:US
Mailing Address - Phone:626-280-9968
Mailing Address - Fax:626-810-1477
Practice Address - Street 1:321 E GARVEY AVE
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91755-1813
Practice Address - Country:US
Practice Address - Phone:626-280-9968
Practice Address - Fax:626-810-1477
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25712111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU72822Medicare UPIN