Provider Demographics
NPI:1699814442
Name:TING, FLORA HSIEH (NP)
Entity type:Individual
Prefix:MS
First Name:FLORA
Middle Name:HSIEH
Last Name:TING
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2262 CAMINO RAMON
Mailing Address - Street 2:# 200
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1353
Mailing Address - Country:US
Mailing Address - Phone:510-566-9293
Mailing Address - Fax:925-866-1699
Practice Address - Street 1:5801 NORRIS CANYON RD
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5440
Practice Address - Country:US
Practice Address - Phone:510-566-9293
Practice Address - Fax:925-866-1699
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11366363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN528801Medicaid
CAQ07777Medicare UPIN
CAZZZ28348ZMedicare ID - Type Unspecified