Individual
DR. CHRISTIAN QUOC NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
5630 COTTLE RD, SAN JOSE, CA 95123-3696
(408) 600-3722
Mailing address
5630 COTTLE RD, SAN JOSE, CA 95123
(408) 600-3722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053733121
STORE NPI
CA
Enumeration date
05/29/2019
Last updated
05/29/2019
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