Provider Demographics
NPI:1699713974
Name:TING, JUK L (DO)
Entity type:Individual
Prefix:DR
First Name:JUK
Middle Name:L
Last Name:TING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2550 N HOLLYWOOD WAY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-1055
Mailing Address - Country:US
Mailing Address - Phone:818-557-0135
Mailing Address - Fax:818-557-1394
Practice Address - Street 1:15107 VANOWEN ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4542
Practice Address - Country:US
Practice Address - Phone:818-902-2990
Practice Address - Fax:818-904-3793
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A7323207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A7323OtherBLUE CROSS
CA00AX73230Medicaid
CA050359CG53273OtherTULARE TRAILBLAZER
CA00AX73230OtherCALOPTIMA
CA0020A73230OtherBLUE SHIELD
CA020A73234Medicare Oscar/Certification
CABD673VMedicare PIN
CABD673WMedicare PIN
CABI400YMedicare PIN
CA0020A73230OtherBLUE SHIELD
CA050359CG53273OtherTULARE TRAILBLAZER