DR. Phuong Nicole Ta, M.D.

NPI #1316001373 in Aliso Viejo, California

Provider Information

NPI Number: 1316001373
Entity Type: Individual
Name: DR. Phuong Nicole Ta, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Dec 21, 2006
Last Updated: Dec 23, 2021

Practice Location

Address: 26671 ALISO CREEK RD STE 304
City: Aliso Viejo
State: California
ZIP Code: 92656-4808
Phone: (949) 389-9409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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