Provider Demographics
NPI:1255613048
Name:HING, FREDERICK SCOTT (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:SCOTT
Last Name:HING
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 1:6670 ELWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-3018
Mailing Address - Country:US
Mailing Address - Phone:408-268-2786
Mailing Address - Fax:
Practice Address - Street 1:441 PARK AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-2615
Practice Address - Country:US
Practice Address - Phone:408-287-2640
Practice Address - Fax:408-287-7428
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA851012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry