Provider Demographics
NPI:1942322862
Name:LING, EDGAR HUANG (MD)
Entity Type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:HUANG
Last Name:LING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4932 COLUSA DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-5400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:858-558-8722
Practice Address - Street 1:9834 GENESEE AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1223
Practice Address - Country:US
Practice Address - Phone:858-558-8626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG085297207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD 058414LOtherMEDICAL LIC
NYMD180479OtherMEDICAL LIC
CAG085297OtherMEDICAL LIC
F84606Medicare UPIN