Organization
DAVID C. NG, DPM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHANG NG DPM (PRESIDENT)
(805) 497-7822
Entity
Organization
Contact information
Practice address
123 HODENCAMP RD STE 101, THOUSAND OAKS, CA 91360-5833
(805) 497-7822
(805) 293-6768
Mailing address
13960 BLACK ROCK CIR, MOORPARK, CA 93021-5025
(805) 497-7822
(805) 293-6768
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E41110
—
CA
01
—
000E41111
BLUE SHIELD PROVIDER ID #
CA
Enumeration date
12/06/2006
Last updated
01/09/2023
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