person
Lara Ngo, RN
Psychiatric/Mental Health Registered Nurse in Diamond Springs, California
NPI 1720766918

Lara Ngo is a Psychiatric/Mental Health Registered Nurse based in Diamond Springs, CA and is specialized in Psychiatric/Mental Health. Lara Ngo practices in Diamond Springs, CA and has the professional credentials of RN. The NPI Number for Lara Ngo is 1720766918 and holds a License No. 95263970 (California).

The current practice location address for Lara Ngo is 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA and can be reached out via phone at 530-621-6290.

Location: 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA, 95619-9260
person
Provider Profile Details
NPI Number
1720766918
Provider Name
Lara Ngo
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
768 Pleasant Valley Rd Ste 201, Diamond Springs, CA, 95619-9260
Phone Number
530-621-6290
Fax Number
Provider Enumeration Date
07/07/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
236 05 DC
5874 01 HEALTH PARTNERS
568946544 01 BCBS
institution
Provider Business Practice Location Address Details
Address
768 Pleasant Valley Rd Ste 201
City
State
Zip
95619-9260
Phone Number
530-621-6290
Fax Number
person
Provider Business Mailing Address Details
Address
768 Pleasant Valley Rd Ste 201
City
State
Zip
95619-9260
Phone Number
530-621-6290
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
95263970 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95263970 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
95263970 (California)
Definition
Definition to come...
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