Provider Demographics
NPI:1316054174
Name:NGAN, GEORGE GEE SHEUNG (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:GEE SHEUNG
Last Name:NGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:201 S ALVARADO ST
Mailing Address - Street 2:717
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-2390
Mailing Address - Country:US
Mailing Address - Phone:213-989-6959
Mailing Address - Fax:213-989-2012
Practice Address - Street 1:201 S ALVARADO ST
Practice Address - Street 2:717
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-2390
Practice Address - Country:US
Practice Address - Phone:213-989-6959
Practice Address - Fax:213-989-2012
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG36843207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G368430Medicaid
A46833Medicare UPIN
WG36843FMedicare ID - Type Unspecified