Basic Information
| Provider Information | |||||||||
| NPI: | 1760654131 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NG | ||||||||
| FirstName: | KAI-LING | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2930 SQUALICUM PKWY | ||||||||
| Address2: | SUITE #101 | ||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982251854 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3607330430 | ||||||||
| FaxNumber: | 3607330438 | ||||||||
| Practice Location | |||||||||
| Address1: | 2930 SQUALICUM PKWY | ||||||||
| Address2: | SUITE # 101 | ||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982251854 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3607330430 | ||||||||
| FaxNumber: | 3607330438 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2008 | ||||||||
| LastUpdateDate: | 09/26/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | MD00049301 | WA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 8511222 | 05 | WA | MEDICAID |