Individual
ANDREA A NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 429-3600
Mailing address
1525 WEBSTER ST, SUITE A, FAIRFIELD, CA 94533-4997
(707) 423-2510
(707) 425-4236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A64486
CA
208M00000X
Hospitalist Physician
Primary
A64486
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A644860
—
CA
Enumeration date
10/10/2006
Last updated
11/08/2007
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