Provider Demographics
NPI:1801241575
Name:NGO, FRANK (DPT)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:NGO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17050 BUSHARD ST
Mailing Address - Street 2:SUITE 350
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-2832
Mailing Address - Country:US
Mailing Address - Phone:714-968-1316
Mailing Address - Fax:714-964-9787
Practice Address - Street 1:17050 BUSHARD ST
Practice Address - Street 2:SUITE 350
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-2832
Practice Address - Country:US
Practice Address - Phone:714-968-1316
Practice Address - Fax:714-964-9787
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-29
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist