Provider Demographics
NPI:1013921907
Name:CHING, GEORGE K JR (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:K
Last Name:CHING
Suffix:JR
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 1:116 N PLAZA ST
Mailing Address - Street 2:VALLEY EYE CARE MEDICAL GROUP INC
Mailing Address - City:BRAWLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92227-2426
Mailing Address - Country:US
Mailing Address - Phone:760-344-4330
Mailing Address - Fax:760-344-6956
Practice Address - Street 1:116 N PLAZA ST
Practice Address - Street 2:VALLEY EYE CARE MEDICAL GROUP INC
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-2426
Practice Address - Country:US
Practice Address - Phone:760-344-4330
Practice Address - Fax:760-344-6956
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG037837207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G378370Medicaid
CAWG37837AMedicare PIN
A89649Medicare UPIN
CA00G378370Medicaid