Individual
LENNIE THANH HO NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017
(213) 977-2121
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(213) 977-2121
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA55638
CA
Other
Enumeration date
06/04/2018
Last updated
08/22/2018
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