Dr Alan C Ta, MD | |
3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | |
(909) 425-7679 | |
(909) 425-6635 |
Full Name | Dr Alan C Ta |
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Gender | Male |
Speciality | Family Medicine - Adult Medicine |
Location | 3102 E. Highland Avenue, Patton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1801093489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | A 070112 (California) | Primary |
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
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Dr Alan C Ta, MD 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7679 | Dr Alan C Ta, MD 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Ph: (909) 425-7679 |
Marianita Aralar Raymundo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7000 | |
Mrs. Stephanie Anh-hang Nguyen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7679 Fax: 909-425-6635 | |
Trang Tran, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7679 Fax: 909-425-6635 | |
Dr. Mark T Keidel, M.D., MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 3102 E Highland Ave # Admin150, Patton, CA 92369 Phone: 909-425-7000 Fax: 909-425-6169 | |
Rainer Guerra Bansuan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-815-0965 | |
Dr. Robert Lin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3102 E Highland Ave, Patton Medical Services, Patton, CA 92369 Phone: 909-425-7000 | |
Dr. Mohamed Amr Hafez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7679 Fax: 909-425-6635 |