Individual
DR. ANDREA ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3301 C ST, SUITE #200-E, SACRAMENTO, CA 95816-3300
(916) 447-6267
(916) 447-0621
Mailing address
3301 C ST, SUITE #200-E, SACRAMENTO, CA 95816-3300
(916) 447-6267
(916) 447-0621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A75526
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A75526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A755260
—
CA
01
—
BF919X
MEDICARE PTAN
CA
01
—
BF919Y
MEDICARE PTAN
CA
01
—
BF919Z
MEDICARE PTAN
CA
Enumeration date
07/20/2006
Last updated
01/27/2021
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