| Hy Phung Ngo Md Inc | |
|
625 E Valley Blvd Suite H&i San Gabriel CA 91776-3591 | |
| (626) 572-4658 | |
| (626) 572-4659 |
| Full Name | Hy Phung Ngo Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 625 E Valley Blvd, San Gabriel, California |
| Authorized Official Name and Position | Hy Phung Ngo (PRESIDENT) |
| Authorized Official Contact | 6265724658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hy Phung Ngo Md Inc 625 E Valley Blvd Suite H&i San Gabriel CA 91776-3591 Ph: (626) 572-4658 | Hy Phung Ngo Md Inc 625 E Valley Blvd Suite H&i San Gabriel CA 91776-3591 Ph: (626) 572-4658 |
| NPI Number | 1144385766 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 11/25/2013 |
| Medicare PECOS PAC ID | 5092846188 |
|---|---|
| Medicare Enrollment ID | O20100707000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144385766 | NPI | - | NPPES |
| 00A697360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A69736 (California) | Primary |
| Provider Name | Hy Phung Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871658492 PECOS PAC ID: 3072408871 Enrollment ID: I20110428000206 |
| Provider Name | Anh Tuan Huu Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194266460 PECOS PAC ID: 6002247871 Enrollment ID: I20200511002490 |
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