Provider Demographics
NPI:1487921037
Name:NGO, GERMAINE ANDRES (RN, NP-C)
Entity type:Individual
Prefix:MRS
First Name:GERMAINE
Middle Name:ANDRES
Last Name:NGO
Suffix:
Gender:F
Credentials:RN, NP-C
Other - Prefix:MS
Other - First Name:GERMAINE
Other - Middle Name:BLAS
Other - Last Name:ANDRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, NP-C
Mailing Address - Street 1:8700 BEVERLY BLVD.
Mailing Address - Street 2:ROOM B-220
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:310-423-5252
Mailing Address - Fax:310-423-8441
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:ROOM B-220
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-423-5252
Practice Address - Fax:310-423-8441
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20995363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily