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General NPI Number Information
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NPI Number | 1720337397
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Entity Type | Organization
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Legal Business Name | VISAL NGA DO INC
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1269 E ANAHEIM ST
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City | LONG BEACH
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State | CA
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Zip | 90813-3709
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Country | US
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Telephone | 562-599-5300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40163
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City | LONG BEACH
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State | CA
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Zip | 90806
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Country | US
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Telephone | 562-599-5300
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. VISAL NGA
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Credential | D.O,
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Telephone | 562-599-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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