DR. Philong Van Ta, M.D.

NPI #1760721658 in Walnut, California

Provider Information

NPI Number: 1760721658
Entity Type: Individual
Name: DR. Philong Van Ta, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Feb 12, 2013
Last Updated: Sep 15, 2014

Practice Location

Address: 19468 EMPTY SADDLE RD
City: Walnut
State: California
ZIP Code: 91789-4290
Phone: (858) 361-9116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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