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NPI Code Detail

MEDICARE: PHILIP NGO M.D.

MEDICARE: PHILIP NGO M.D.
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
1207L00000XAnesthesiology PhysicianA77426CA
2207LP2900XPain Medicine (Anesthesiology) PhysicianA77426CA

General Provider Information

NPI Number : 1306812268
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP NGO M.D.
Provider Business Mailing Address
First Line : PO BOX 60790
Second Line :
City : PASADENA
State : CA
Zip : 91116-6790
Country : US
Telephone Number : 626-795-6596
Fax Number : 626-795-8247
Provider Business Practice Location Address
First Line : 23845 MCBEAN PKWY
Second Line :
City : VALENCIA
State : CA
Zip : 91355-2001
Country : US
Telephone Number : 661-253-8000
Fax Number : 818-715-1722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 10/07/2014

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