Individual
DR. MAI PHUONG NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7910 FROST ST, SAN DIEGO, CA 92123-2771
(858) 966-8974
Mailing address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A90185
CA
208100000X
Physical Medicine & Rehabilitation Physician
A90185
CA
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
A90185
CA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
A90185
CA
Other
Enumeration date
01/23/2007
Last updated
07/12/2023
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