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NPI Code Detail

MEDICARE: KHOA D NGO PHARMD

MEDICARE:   KHOA D NGO  PHARMD
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
1183500000XPharmacist74295CA

General Provider Information

NPI Number : 1467811307
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHOA D NGO PHARMD
Provider Business Mailing Address
First Line : 1618 S TOWNER ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92707-1550
Country : US
Telephone Number : 714-277-0896
Fax Number :
Provider Business Practice Location Address
First Line : 1433 GLENDALE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-2428
Country : US
Telephone Number : 213-483-3468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2016
Last Update Date : 02/21/2016

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Directions to “ KHOA D NGO PHARMD” Practice Location

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