Provider Demographics
NPI:1013927136
Name:LING, RICHARD TAK-KAM (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:TAK-KAM
Last Name:LING
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 17TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3503
Mailing Address - Country:US
Mailing Address - Phone:661-321-9633
Mailing Address - Fax:661-631-8888
Practice Address - Street 1:2325 17TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3503
Practice Address - Country:US
Practice Address - Phone:661-321-9633
Practice Address - Fax:661-631-8888
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG654520207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB74918Medicare UPIN