Provider Demographics
NPI:1598095739
Name:NG, TSZ-KAN (RD)
Entity Type:Individual
Prefix:MISS
First Name:TSZ-KAN
Middle Name:
Last Name:NG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MISS
Other - First Name:CANDY
Other - Middle Name:
Other - Last Name:NG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:168 11TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-4841
Mailing Address - Country:US
Mailing Address - Phone:510-839-2022
Mailing Address - Fax:
Practice Address - Street 1:168 11TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4841
Practice Address - Country:US
Practice Address - Phone:510-839-2022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01011337133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered