Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | A119858 | CA |
NPI | 1437446952 |
---|---|
Provider Name | Cedric Kwan-Ho Ng |
First Address | Pasadena, CA 91105-3954 |
Second Address | Pasadena, CA 91105-3954 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2011 |
Last Update Date | 28/03/2018 |