Provider Demographics
NPI:1942704135
Name:NG, DAVID
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:NG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7625 MESA COLLEGE DR STE 3325A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-5343
Mailing Address - Country:US
Mailing Address - Phone:858-326-5044
Mailing Address - Fax:858-399-9071
Practice Address - Street 1:27412 ENTERPRISE CIR W STE 102
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4801
Practice Address - Country:US
Practice Address - Phone:951-694-6367
Practice Address - Fax:951-694-1428
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA189917208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine