Provider Demographics
NPI:1760594170
Name:GE, NORMAN NENGHONG (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:NENGHONG
Last Name:GE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:151 WEATHERVANE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-4226
Mailing Address - Country:US
Mailing Address - Phone:949-307-9248
Mailing Address - Fax:949-551-6866
Practice Address - Street 1:5901 E 7TH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822-5201
Practice Address - Country:US
Practice Address - Phone:949-307-9248
Practice Address - Fax:949-551-6866
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA069763207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A697630Medicaid
CA00A697630Medicaid
CAWA69763AMedicare ID - Type Unspecified