Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | PT30340 | CA |
N | 213ES0000X | Sports Medicine | PT30340 | CA |
Y | 2251X0800X | Physical Therapist - Orthopedic | 30350 | CA |
NPI | 1053628735 |
---|---|
Provider Name | Dr. Danh Ngo |
First Address | Long Beach, CA 90807-6025 |
Second Address | Long Beach, CA 90807-6025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2010 |
Last Update Date | 17/03/2018 |