Provider Demographics
NPI:1043471162
Name:NGO, TUAN HOANG (DC)
Entity Type:Individual
Prefix:DR
First Name:TUAN
Middle Name:HOANG
Last Name:NGO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2522 BERRYESSA RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-2903
Mailing Address - Country:US
Mailing Address - Phone:408-929-1895
Mailing Address - Fax:408-929-1896
Practice Address - Street 1:2522 BERRYESSA RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-2903
Practice Address - Country:US
Practice Address - Phone:408-929-1895
Practice Address - Fax:408-929-1896
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor