Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | A112276 | CA |
Y | 208800000X | Urologist | A112276 | CA |
NPI | 1164722450 |
---|---|
Provider Name | Dr. Gladys Yee Duen Ng |
First Address | Los Angeles, CA 90095-5631 |
Second Address | Burbank, CA 91505-4819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2010 |
Last Update Date | 09/01/2020 |