Provider Demographics
NPI:1841001500
Name:JUSTIN CHING DO INC
Entity type:Organization
Organization Name:JUSTIN CHING DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHING
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:619-736-5241
Mailing Address - Street 1:11878 AVENUE OF INDUSTRY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-3423
Mailing Address - Country:US
Mailing Address - Phone:619-736-5241
Mailing Address - Fax:858-901-1449
Practice Address - Street 1:11878 AVENUE OF INDUSTRY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-3423
Practice Address - Country:US
Practice Address - Phone:619-736-5241
Practice Address - Fax:858-901-1449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty