Healthcare Provider Details

I. General information

NPI: 1750127098
Provider Name (Legal Business Name): STEVEN J NGAI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2024
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 TARAVAL ST
SAN FRANCISCO CA
94116-2515
US

IV. Provider business mailing address

17 FRANCIS ST
SAN FRANCISCO CA
94112-1924
US

V. Phone/Fax

Practice location:
  • Phone: 415-665-0119
  • Fax:
Mailing address:
  • Phone: 415-672-8931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number89449
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: