Individual
BRIAN EDWARD NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
317 W PUEBLO ST, SANTA BARBARA, CA 93105
(805) 681-8980
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-1872
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
33770TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT33770-TLG
MEDICAL LICENSE
CA
Enumeration date
07/17/2017
Last updated
09/10/2019
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