Provider Demographics
NPI:1831525583
Name:NGO, HELEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:NGO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 E BASE LINE RD
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-3607
Mailing Address - Country:US
Mailing Address - Phone:909-562-0267
Mailing Address - Fax:909-562-0471
Practice Address - Street 1:12275 PERRIS BLVD
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92557-7432
Practice Address - Country:US
Practice Address - Phone:951-242-8717
Practice Address - Fax:951-242-8787
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH69674183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist