Provider Demographics
NPI:1932427184
Name:CHING, JOHN W (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:CHING
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3300 YORBA LINDA BLVD
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-1709
Mailing Address - Country:US
Mailing Address - Phone:714-524-2522
Mailing Address - Fax:714-524-0442
Practice Address - Street 1:3300 YORBA LINDA BLVD
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-1709
Practice Address - Country:US
Practice Address - Phone:714-524-2522
Practice Address - Fax:714-524-0442
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist