Individual ProviderVan NgoAcupuncturistOther Service ProvidersPractice Address14151 Newport Ave, 102, Tustin, CA 92780-5163(714) 838-8931PECOS EnrollmentBased on the most recent information from CMS, provider Van Ngo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1396062725Provider TypeIndividualFull NameNgo, VanTitleMr.CredentialL.AC.GenderMaleSole ProprietorYesEnumeration Date4/25/2010Last Updated4/25/2010Contact InformationPractice LocationPractice Address14151 Newport Ave, 102, Tustin, CA 92780-5163Phone(714) 838-8931Fax(714) 838-1114Mailing LocationMailing Address14151 Newport Ave, 102, Tustin, CA 92780-5163Phone(714) 838-8931Fax(714) 838-1114Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicense12696California