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NPI Code Detail

MEDICARE: ANTHONY TRUONG NGO

MEDICARE: ANTHONY TRUONG NGO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse894135NV

General Provider Information

NPI Number : 1215864343
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY TRUONG NGO
Provider Business Mailing Address
First Line : 2950 E FLAMINGO RD STE H
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2950 E FLAMINGO RD STE H
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-5208
Country : US
Telephone Number : 714-235-8189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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Directions to “ ANTHONY TRUONG NGO ” Practice Location

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