# DR. MAI PHUONG NGO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508910787
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | A90185 | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | A90185 | CA | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | A90185 | CA | Yes |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | A90185 | CA | — |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 07/12/2023