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NPI Code Detail

MEDICARE: DR. DANNY KHANG HUY NGO O.D.

MEDICARE: DR. DANNY KHANG HUY NGO O.D.
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
1152W00000XOptometrist14010CA

General Provider Information

NPI Number : 1386957124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANNY KHANG HUY NGO O.D.
Provider Business Mailing Address
First Line : 1760 S PACIFIC COAST HWY
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5902
Country : US
Telephone Number : 310-540-2970
Fax Number :
Provider Business Practice Location Address
First Line : 1760 S PACIFIC COAST HWY
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5902
Country : US
Telephone Number : 310-540-2970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2010
Last Update Date : 10/23/2021

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