Individual
DR. CHARLIE VAN NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
200 MINOR HL, BERKELEY, CA 94720-0001
(510) 642-2020
Mailing address
200 MINOR HL, BERKELEY, CA 94720-0001
(510) 642-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14561 TLG
CA
152W00000X
Optometrist
OEG002673
PA
Other
Enumeration date
07/16/2012
Last updated
03/13/2016
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