Basic Information
Provider Information
NPI: 1780813923
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DING
FirstName: HILDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3020 CHILDRENS WAY
Address2: MC 5003
City: SAN DIEGO
State: CA
PostalCode: 921234223
CountryCode: US
TelephoneNumber: 8583096300
FaxNumber:  
Practice Location
Address1: 3010 CHILDRENS WAY
Address2: 2 - WEST
City: SAN DIEGO
State: CA
PostalCode: 921234223
CountryCode: US
TelephoneNumber: 8589665811
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/09/2009
LastUpdateDate: 08/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0207XA144295CAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
208000000XA144295CAN Allopathic & Osteopathic PhysiciansPediatrics 
208000000X003682GAN Allopathic & Osteopathic PhysiciansPediatrics 
208000000XLL32964SCN Allopathic & Osteopathic PhysiciansPediatrics 
208000000X35.121776OHN Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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