Individual
BRANDON NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
20301 SW ACACIA ST STE 150, NEWPORT BEACH, CA 92660-1741
(949) 274-9551
Mailing address
10101 JENNRICH AVE, GARDEN GROVE, CA 92843-4627
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50678
CA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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