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NPI Code Detail

MEDICARE: LIONEL P NG MD

MEDICARE:   LIONEL P NG  MD
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
1208000000XPediatrics PhysicianC28806CA

General Provider Information

NPI Number : 1336244094
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIONEL P NG MD
Provider Business Mailing Address
First Line : 2750 E WASHINGTON BLVD
Second Line : #360
City : PASADENA
State : CA
Zip : 91107
Country : US
Telephone Number : 626-794-8024
Fax Number : 626-794-6723
Provider Business Practice Location Address
First Line : 2750 E WASHINGTON BLVD
Second Line : #360
City : PASADENA
State : CA
Zip : 91107
Country : US
Telephone Number : 626-794-8024
Fax Number : 626-794-6723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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Directions to “ LIONEL P NG MD” Practice Location

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