Healthcare Provider Details

I. General information

NPI: 1114863511
Provider Name (Legal Business Name): ALBERT NGO, DDS, MS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18510 GRIDLEY RD
ARTESIA CA
90701-5406
US

IV. Provider business mailing address

16617 HARROWAY AVE
CERRITOS CA
90703-1462
US

V. Phone/Fax

Practice location:
  • Phone: 562-403-3355
  • Fax:
Mailing address:
  • Phone: 562-852-3113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERT NGO
Title or Position: ORTHODONTIST
Credential: DDS, MS
Phone: 562-852-3113