Individual
ANTHONY NGUYEN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10408 INDUSTRIAL CIR, REDLANDS, CA 92374-4548
(909) 796-7803
Mailing address
2613 CURTIS AVE APT C, REDONDO BEACH, CA 90278-2236
(310) 407-9602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
51902
CA
Other
Enumeration date
09/06/2014
Last updated
08/04/2015
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