Individual
GAN XON NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ, SUITE 7501, LOS ANGELES, CA 90095-7417
(310) 267-9643
(310) 267-3840
Mailing address
757 WESTWOOD PLZ, SUITE 7501, LOS ANGELES, CA 90095-7417
(310) 267-9643
(310) 267-3840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
230318
NY
208M00000X
Hospitalist Physician
Primary
C53500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588636641
CCS PANELED
CA
05
—
1588636641
—
CA
Enumeration date
02/03/2006
Last updated
03/28/2017
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