Provider Demographics
NPI:1538362173
Name:TING, ESTHER (PHD)
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:TING
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:HE
Other - Middle Name:JUN
Other - Last Name:DING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2121 CLOVERFIELD BLVD
Mailing Address - Street 2:SUITE 133
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404
Mailing Address - Country:US
Mailing Address - Phone:310-315-0455
Mailing Address - Fax:310-315-0456
Practice Address - Street 1:2121 CLOVERFIELD BLVD
Practice Address - Street 2:SUITE 133
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404
Practice Address - Country:US
Practice Address - Phone:310-315-0455
Practice Address - Fax:310-315-0456
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2387171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist