Provider Demographics
NPI:1972673622
Name:NG, JOANN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANN
Middle Name:
Last Name:NG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:629 STATE ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-7069
Mailing Address - Country:US
Mailing Address - Phone:805-618-8853
Mailing Address - Fax:805-688-4058
Practice Address - Street 1:629 STATE ST
Practice Address - Street 2:SUITE 203
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7069
Practice Address - Country:US
Practice Address - Phone:805-618-8853
Practice Address - Fax:805-688-4058
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA778432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry