Healthcare Provider Details

I. General information

NPI: 1023642923
Provider Name (Legal Business Name): MARIA PILAR NG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 W BEACON AVE
ANAHEIM CA
92804-4406
US

IV. Provider business mailing address

2026 W BEACON AVE
ANAHEIM CA
92804-4406
US

V. Phone/Fax

Practice location:
  • Phone: 657-276-7030
  • Fax:
Mailing address:
  • Phone: 657-276-7030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number697344
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: