Individual
KEVIN S NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 OLYMPIC PKWY, CHULA VISTA, CA 91915-6002
(510) 673-5433
Mailing address
720 CAMINO DE LA REINA APT 214, SAN DIEGO, CA 92108-3228
(510) 673-5433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
07/21/2023
Last updated
07/28/2023
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