Provider Demographics
NPI:1689273674
Name:NGO, TO YEN RUBY (LVN)
Entity Type:Individual
Prefix:MS
First Name:TO YEN
Middle Name:RUBY
Last Name:NGO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:YEN
Other - Middle Name:T
Other - Last Name:NGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:10501 VALLEY BLVD STE 1200
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-3617
Mailing Address - Country:US
Mailing Address - Phone:626-215-9577
Mailing Address - Fax:
Practice Address - Street 1:10501 VALLEY BLVD STE 1200
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-3617
Practice Address - Country:US
Practice Address - Phone:626-215-9577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN701790164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse