Provider Demographics
NPI:1164455226
Name:NHANHAU NGO MD INC
Entity Type:Organization
Organization Name:NHANHAU NGO MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NHANHAU
Authorized Official - Middle Name:
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-244-5214
Mailing Address - Street 1:9370 SINCLAIR CIR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5631
Mailing Address - Country:US
Mailing Address - Phone:714-244-5214
Mailing Address - Fax:
Practice Address - Street 1:8341 WESTMINSTER BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3306
Practice Address - Country:US
Practice Address - Phone:714-244-5214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW19110OtherPIN