Provider Demographics
NPI:1164549390
Name:NGO, CHARLES KHANH (MSW)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:KHANH
Last Name:NGO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14652 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5485
Mailing Address - Country:US
Mailing Address - Phone:714-724-0995
Mailing Address - Fax:
Practice Address - Street 1:14652 BIRCH ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5485
Practice Address - Country:US
Practice Address - Phone:714-724-0995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical