Provider Demographics
NPI:1578666350
Name:LING, JASON C (DO)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:C
Last Name:LING
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:7145 CALABRIA CT
Mailing Address - Street 2:SUITE E
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5595
Mailing Address - Country:US
Mailing Address - Phone:858-623-9349
Mailing Address - Fax:619-303-8957
Practice Address - Street 1:7145 CALABRIA CT
Practice Address - Street 2:SUITE E
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-5595
Practice Address - Country:US
Practice Address - Phone:858-623-9349
Practice Address - Fax:619-303-8957
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2009-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9710208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice