MEDICARE: DR. VU NGO D.C. MSACN, CPT

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
1	111N00000X	Chiropractor	32996	CA

General Provider Information

NPI Number	:	1538577176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VU NGO D.C. MSACN, CPT

Provider Business Mailing Address
First Line	:	8790 W COLFAX AVE
Second Line	:	STE 10
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-4025
Country	:	US
Telephone Number	:	949-607-8832
Fax Number	:	949-281-3846

Provider Business Practice Location Address
First Line	:	8790 W COLFAX AVE
Second Line	:	STE 10
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-4025
Country	:	US
Telephone Number	:	949-607-8832
Fax Number	:	949-281-3846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2014
Last Update Date	:	02/19/2019

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