Provider Demographics
NPI:1053628735
Name:NGO, DANH (PT, DPT, OCS, SCS)
Entity Type:Individual
Prefix:DR
First Name:DANH
Middle Name:
Last Name:NGO
Suffix:
Gender:M
Credentials:PT, DPT, OCS, SCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3646 LONG BEACH BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-6025
Mailing Address - Country:US
Mailing Address - Phone:562-548-0876
Mailing Address - Fax:888-510-3678
Practice Address - Street 1:3646 LONG BEACH BLVD STE 106
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-6025
Practice Address - Country:US
Practice Address - Phone:562-548-0876
Practice Address - Fax:888-510-3678
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA303502251X0800X
CAPT303402081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Multi-Specialty