Khoa Dang Ta, DC | |
9105 Valley Blvd, Suite 101, Rosemead, CA 91770-1919 | |
(626) 415-6213 | |
(626) 773-8996 |
Full Name | Khoa Dang Ta |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 9105 Valley Blvd, Rosemead, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477993350 | NPI | - | NPPES |
1477993350 | Other | CA | NATIONAL PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 32671 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Khoa Dang Ta, DC 9105 Valley Blvd, Suite 101, Rosemead, CA 91770-1919 Ph: (626) 415-6213 | Khoa Dang Ta, DC 9105 Valley Blvd, Suite 101, Rosemead, CA 91770-1919 Ph: (626) 415-6213 |
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