Provider Demographics
NPI:1619943719
Name:CHING, JANET CHARLENE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:CHARLENE
Last Name:CHING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11600 INDIAN HILLS RD
Mailing Address - Street 2:SUITE #202
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-1225
Mailing Address - Country:US
Mailing Address - Phone:818-838-4530
Mailing Address - Fax:818-838-7516
Practice Address - Street 1:11600 INDIAN HILLS RD
Practice Address - Street 2:SUITE #202
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1225
Practice Address - Country:US
Practice Address - Phone:818-838-4530
Practice Address - Fax:818-838-7516
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55376208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG47238Medicare UPIN