| Tuan V Ta Md Inc | |
|
12555 Garden Grove Blvd #405 Garden Grove CA 92843-1902 | |
| (714) 530-8042 | |
| (714) 530-4447 |
| Full Name | Tuan V Ta Md Inc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 12555 Garden Grove Blvd, Garden Grove, California |
| Authorized Official Name and Position | Tuan V Ta (PRESIDENT) |
| Authorized Official Contact | 7145308042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuan V Ta Md Inc 12555 Garden Grove Blvd #405 Garden Grove CA 92843-1902 Ph: (714) 530-8042 | Tuan V Ta Md Inc 12555 Garden Grove Blvd #405 Garden Grove CA 92843-1902 Ph: (714) 530-8042 |
| NPI Number | 1346546082 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 04/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346546082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A99653 (California) | Primary |
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