Vivian Khanh Ngo, MD
Family Medicine in Colton, CA. Individual provider (NPI-1).
NPI number1982125969
StatusActive
Last updated in NPPESDec 19, 2019
Details
- NPI
- 1982125969
- Entity type
- Individual (NPI-1)
- Name
- Vivian Khanh Ngo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2017
- Certification date
- Dec 19, 2019
- Last updated
- Dec 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A164499 | CA | Yes |
Practice location
400 N Pepper AveColton, CA 92324-1801
Phone 909-580-1000
Mailing address
400 N Pepper AveColton, CA 92324-1801
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