Provider Demographics
NPI:1699290593
Name:NGO, THUY DIEP
Entity type:Individual
Prefix:
First Name:THUY
Middle Name:DIEP
Last Name:NGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:DIEP
Other - Last Name:NGO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1402 NORTH EVONDA STREET
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92703-1135
Mailing Address - Country:US
Mailing Address - Phone:714-230-5972
Mailing Address - Fax:
Practice Address - Street 1:1402 EVONDA ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92703-1135
Practice Address - Country:US
Practice Address - Phone:714-230-5972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker