MR. Viet Ta
NPI #1508392804 in Costa Mesa, California
Provider Information
- NPI Number
- 1508392804
- Entity Type
- Individual
- Name
- MR. Viet Ta
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- May 5, 2017
- Last Updated
- May 5, 2017
Practice Location
- Address
- 175 E 17TH ST
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92627-3708
- Phone
- (949) 631-9223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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