Provider Demographics
NPI:1205501301
Name:UNG, NGHI GIA
Entity type:Individual
Prefix:MS
First Name:NGHI
Middle Name:GIA
Last Name:UNG
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NGHI
Other - Middle Name:GIA
Other - Last Name:UNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SOPHIE
Mailing Address - Street 1:1886 MIDFIELD AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-2357
Mailing Address - Country:US
Mailing Address - Phone:408-646-1827
Mailing Address - Fax:
Practice Address - Street 1:1886 MIDFIELD AVE APT 4
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-2357
Practice Address - Country:US
Practice Address - Phone:408-646-1827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst