Provider Demographics
NPI:1861096513
Name:TING, OLIVIA C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:C
Last Name:TING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:30602 SANTA MARGARITA PKWY
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-2814
Mailing Address - Country:US
Mailing Address - Phone:494-590-9739
Mailing Address - Fax:949-207-5203
Practice Address - Street 1:30602 SANTA MARGARITA PKWY
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2814
Practice Address - Country:US
Practice Address - Phone:949-459-0973
Practice Address - Fax:949-207-5203
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2023-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20580183500000X
CA82960183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist