Dr Tung Ngo, Inc | |
11100 Warner Ave Ste 158 Fountain Valley CA 92708-7510 | |
(714) 279-0010 | |
(478) 313-5538 |
Full Name | Dr Tung Ngo, Inc |
---|---|
Speciality | Internal Medicine |
Location | 11100 Warner Ave Ste 158, Fountain Valley, California |
Authorized Official Name and Position | Tung H Ngo (OWNER) |
Authorized Official Contact | 9495661022 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr Tung Ngo, Inc 5421 W Henderson Pl Santa Ana CA 92704-1037 Ph: (949) 566-1022 | Dr Tung Ngo, Inc 11100 Warner Ave Ste 158 Fountain Valley CA 92708-7510 Ph: (714) 279-0010 |
NPI Number | 1063122893 |
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Provider Enumeration Date | 12/02/2022 |
Last Update Date | 01/05/2023 |
Medicare PECOS PAC ID | 0446622237 |
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Medicare Enrollment ID | O20230203000642 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063122893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Tung H Ngo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104095256 PECOS PAC ID: 6103976162 Enrollment ID: I20090612000140 |
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