Provider Demographics
NPI:1437439171
Name:NG, COK-LEONG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:COK-LEONG
Middle Name:
Last Name:NG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 NILES ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-4538
Mailing Address - Country:US
Mailing Address - Phone:661-363-7137
Mailing Address - Fax:661-363-7359
Practice Address - Street 1:3815 NILES ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-4538
Practice Address - Country:US
Practice Address - Phone:661-363-7137
Practice Address - Fax:661-363-7359
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44801183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist