Individual
ANITA NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8831 VILLA LA JOLLA DR, LA JOLLA, CA 92037-1949
(858) 457-4480
(858) 457-6992
Mailing address
8831 VILLA LA JOLLA DR, LA JOLLA, CA 92037-1949
(858) 457-4480
(858) 457-6992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5021583
NC
363LF0000X
Family Nurse Practitioner
Primary
95031597
CA
Other
Enumeration date
01/09/2023
Last updated
04/21/2026
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