Provider Demographics
NPI:1851583801
Name:NG, GLORIA (CMT, DH)
Entity Type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:
Last Name:NG
Suffix:
Gender:F
Credentials:CMT, DH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 58TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1403
Mailing Address - Country:US
Mailing Address - Phone:415-309-2902
Mailing Address - Fax:
Practice Address - Street 1:835 58TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94608-1403
Practice Address - Country:US
Practice Address - Phone:415-309-2902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No175L00000XOther Service ProvidersHomeopath