Provider Demographics
NPI:1407050107
Name:ARTHUR J TING M D INC
Entity Type:Organization
Organization Name:ARTHUR J TING M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:J
Authorized Official - Last Name:TING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-797-5550
Mailing Address - Street 1:39470 PASEO PADRE PARKWAY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2323
Mailing Address - Country:US
Mailing Address - Phone:510-797-5550
Mailing Address - Fax:510-744-5888
Practice Address - Street 1:39470 PASEO PADRE PKWY STE 1
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2310
Practice Address - Country:US
Practice Address - Phone:510-797-5550
Practice Address - Fax:510-744-5888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG045101207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA49888Medicare UPIN