Provider Demographics
NPI:1841337045
Name:LING, STEPHEN EN (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:EN
Last Name:LING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2660 SOLACE PL
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4316
Mailing Address - Country:US
Mailing Address - Phone:650-966-1223
Mailing Address - Fax:650-934-2414
Practice Address - Street 1:2660 SOLACE PL
Practice Address - Street 2:SUITE A
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4316
Practice Address - Country:US
Practice Address - Phone:650-966-1223
Practice Address - Fax:650-934-2414
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2022-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG61961207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF02830Medicare UPIN
CAG061961Medicare ID - Type Unspecified