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1558484618

NPI Code Detail

MEDICARE: DR. DAVID G. NG MD

MEDICARE: DR. DAVID G. 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
1	207RP1001X	Pulmonary Disease Physician	A83139	CA
2	208M00000X	Hospitalist Physician	A83139	CA
3	207R00000X	Internal Medicine Physician	A83139	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11854280	OTHER	CA	CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	00A831390	OTHER	CA	BLUE SHIELD PPO
4	A83139	OTHER	CA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1558484618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID G. NG MD

Provider Business Mailing Address
First Line	:	150 N ROBERTSON BLVD
Second Line	:	STE 150
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2171
Country	:	US
Telephone Number	:	310-424-5480
Fax Number	:	310-652-4053

Provider Business Practice Location Address
First Line	:	150 N ROBERTSON BLVD
Second Line	:	STE 150
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2171
Country	:	US
Telephone Number	:	310-424-5480
Fax Number	:	310-652-4053

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	03/07/2023

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Directions to “ DR. DAVID G. NG MD” Practice Location

Language	Start Address	Practice Location

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