Provider Demographics
NPI:1194914853
Name:NGO, TRANG MAITHI (BS)
Entity type:Individual
Prefix:
First Name:TRANG
Middle Name:MAITHI
Last Name:NGO
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MRS
Other - First Name:TRANG
Other - Middle Name:MAITHI
Other - Last Name:NGO-BETETA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS
Mailing Address - Street 1:3611 S HARBOR BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6928
Mailing Address - Country:US
Mailing Address - Phone:714-966-8668
Mailing Address - Fax:
Practice Address - Street 1:3611 S. HARBOR BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6823
Practice Address - Country:US
Practice Address - Phone:714-966-8668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor