MEDICARE: ANNA NG RD

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	133V00000X	Registered Dietitian		CA

General Provider Information

NPI Number	:	1790652675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA NG RD

Provider Business Mailing Address
First Line	:	450 12TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-2904
Country	:	US
Telephone Number	:	415-632-9071
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 12TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-2904
Country	:	US
Telephone Number	:	415-632-9071
Fax Number	:

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

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/23/2025

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