Provider Demographics
NPI:1245254879
Name:TRANG T. NGO, MD, INC
Entity type:Organization
Organization Name:TRANG T. NGO, MD, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TRANG
Authorized Official - Middle Name:THANH
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-796-3498
Mailing Address - Street 1:2299 MOWRY AVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1621
Mailing Address - Country:US
Mailing Address - Phone:510-796-3498
Mailing Address - Fax:510-794-4109
Practice Address - Street 1:2299 MOWRY AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1621
Practice Address - Country:US
Practice Address - Phone:510-796-3498
Practice Address - Fax:510-794-4109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91865207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A918650OtherBLUE SHIELD OF CA PIN
CA00A918650Medicaid
CAPENDINGMedicare PIN
CA00A918650OtherBLUE SHIELD OF CA PIN