Individual
DR. ERNEST NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100-A N. TUSTIN AVE, SANTA ANA, CA 92705-3509
(714) 835-8520
(714) 835-3610
Mailing address
2865 E COAST HWY STE 210, CORONA DEL MAR, CA 92625-2217
(949) 999-7894
(949) 999-7881
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G25051
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G250510
—
CA
01
—
G25051
MEDICAL LICENSE
CA
01
—
G25051
OTHER
—
Enumeration date
08/13/2006
Last updated
03/07/2023
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