Provider Demographics
NPI:1295773836
Name:SZE-WAI NG, M.D., A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:SZE-WAI NG, M.D., A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SZE
Authorized Official - Middle Name:WAI
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-288-3288
Mailing Address - Street 1:500 N GARFIELD AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1242
Mailing Address - Country:US
Mailing Address - Phone:626-288-3288
Mailing Address - Fax:626-288-7244
Practice Address - Street 1:500 N GARFIELD AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1242
Practice Address - Country:US
Practice Address - Phone:626-288-3288
Practice Address - Fax:626-288-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53426261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A534260Medicaid
CA00A534260Medicaid
G24426Medicare UPIN