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DR. ANH TUAN HUU NGO M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1194266460
Individual Registrant:DR. ANH TUAN HUU NGO M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
9646 GARVEY AVE STE 101 SOUTH EL MONTE, CA 91733-4600 US
Tel: 626-450-0777 Fax: --
Tel: 626-450-0777 Fax: --
Contact information for business:
9646 GARVEY AVE STE 101 SOUTH EL MONTE, CA 91733-4600 US
Tel: 626-450-0777 Fax: --
Tel: 626-450-0777 Fax: --
Registration Information:
NPI: 1194266460
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | A160236 |
| N | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 100174945 | CA | 05 |
