Individual
KENNY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 321-4121
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-2985
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15609
CA
Other
Enumeration date
12/01/2006
Last updated
06/25/2020
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