| Terrisa S. Ha, M.d. Inc. | |
|
5451 La Palma Ave Suite 49 La Palma CA 90623-1728 | |
| (714) 736-9918 | |
| (714) 736-9952 |
| Full Name | Terrisa S. Ha, M.d. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5451 La Palma Ave, La Palma, California |
| Authorized Official Name and Position | Terrisa Sun Mi Ha (PRESIDENT) |
| Authorized Official Contact | 7147369918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrisa S. Ha, M.d. Inc. 5451 La Palma Ave Suite 49 La Palma CA 90623-1728 Ph: (714) 736-9918 | Terrisa S. Ha, M.d. Inc. 5451 La Palma Ave Suite 49 La Palma CA 90623-1728 Ph: (714) 736-9918 |
| NPI Number | 1922398767 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 02/17/2015 |
| Medicare PECOS PAC ID | 8527237049 |
|---|---|
| Medicare Enrollment ID | O20110817000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922398767 | NPI | - | NPPES |
| 05D0955906 | Other | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G74991 (California) | Primary |
| Provider Name | Terrisa S Ha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083675516 PECOS PAC ID: 9739264656 Enrollment ID: I20080317000203 |
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