Provider Demographics
NPI:1982652244
Name:DING, DAVID TECK LOONG (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:TECK LOONG
Last Name:DING
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 1:6083 MAXWELL DR
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4025
Mailing Address - Country:US
Mailing Address - Phone:530-877-4488
Mailing Address - Fax:530-877-4492
Practice Address - Street 1:6083 MAXWELL DR
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969-4025
Practice Address - Country:US
Practice Address - Phone:530-877-4488
Practice Address - Fax:530-877-4492
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32315174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA32315OtherCALILFORNIA LICENCE
CA00A323150Medicaid
CA3881330Medicaid
CABD5326815OtherDEA
CA00A323150Medicare ID - Type Unspecified
CA00A323150Medicaid