Provider Demographics
NPI:1376290015
Name:NGO, THONG HOANG (DO)
Entity Type:Individual
Prefix:DR
First Name:THONG
Middle Name:HOANG
Last Name:NGO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:THOMAS
Other - Middle Name:
Other - Last Name:NGO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:16721 SUMMERCLOUD LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-4208
Mailing Address - Country:US
Mailing Address - Phone:714-260-6346
Mailing Address - Fax:
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2059
Practice Address - Country:US
Practice Address - Phone:310-222-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program