Provider Demographics
NPI:1144424326
Name:DON, NGA (DC)
Entity Type:Individual
Prefix:DR
First Name:NGA
Middle Name:
Last Name:DON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 PAULARINO AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-2940
Mailing Address - Country:US
Mailing Address - Phone:714-850-6430
Mailing Address - Fax:714-850-6439
Practice Address - Street 1:720 PAULARINO AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-2940
Practice Address - Country:US
Practice Address - Phone:714-850-6430
Practice Address - Fax:714-850-6439
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28475111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation