Thomas T. Ha, M.d., Inc. | |
530 W Badillo St Suite E Covina CA 91722-3787 | |
(626) 858-5370 | |
Not Available |
Full Name | Thomas T. Ha, M.d., Inc. |
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Speciality | Internal Medicine |
Location | 530 W Badillo St, Covina, California |
Authorized Official Name and Position | Thomas T. Ha (PRESIDENT) |
Authorized Official Contact | 6263671033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thomas T. Ha, M.d., Inc. 23541 Ridge Line Rd Diamond Bar CA 91765-3008 Ph: (626) 367-1033 | Thomas T. Ha, M.d., Inc. 530 W Badillo St Suite E Covina CA 91722-3787 Ph: (626) 858-5370 |
NPI Number | 1194257618 |
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Provider Enumeration Date | 04/03/2017 |
Last Update Date | 04/03/2017 |
Medicare PECOS PAC ID | 4587940291 |
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Medicare Enrollment ID | O20170412001322 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194257618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A43426 (California) | Primary |
Provider Name | Thomas T Ha |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568447860 PECOS PAC ID: 3274506811 Enrollment ID: I20040812001558 |
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