NPIMap

A. Ngo M.D. Prof. Corp.

Organization Active NPI Gynecology Physician · Fullerton, CA

NPI 1003068065 · NPPES record last updated Oct 21, 2008

Key facts

NPI
1003068065
Entity type
Organization (NPI type 2)
Primary specialty
Gynecology Physician 207VG0400X
License
A54744 (CA)
Legal business name
A. NGO M.D. PROF. CORP.
Practice address
508 W Commonwealth Ave
Fullerton, CA 92832-1723
Phone
(714) 879-4963
NPI assigned
Oct 21, 2008
Organization subpart
No

Authorized official

Name
Dr. Anh Thien Ngo, M.D.
Title
President
Phone
(714) 879-4963

National Provider Directory

Locations

508 W Commonwealth Ave
Fullerton, CA 92832
Phone (714) 870-7072

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207VG0400X A54744 CA Yes

Addresses

Primary practice location

508 W Commonwealth Ave
Fullerton, CA 92832-1723

Mailing address

508 W Commonwealth Ave
Fullerton, CA 92832-1723
Phone (714) 879-4963

Other providers in Fullerton, CA

All providers in Fullerton, CA · Gynecology Physician in California

Sources for this page

Verify at the official NPI Registry.