Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Veasna Ngor

Individual provider Licensed Vocational Nurse · NPI 1124874011

Veasna Ngor is a Licensed Vocational Nurse in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
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Practice location Address checks out

1466 Lincoln Ave
San Rafael, CA 94901-2021
Phone: (415) 457-3755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 705838 (CA)

Record details

NPI number1124874011
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 30, 2024
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024
Mailing address1466 Lincoln Ave, San Rafael, CA 94901-2021

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