Kim La Ta, PHARMD - Pharmacist in Ontario, CA

Kim La Ta, PHARMD is a Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in Ontario, California. Kim La Ta is licensed to practice in California (license number 55657) and her current practice location is 3990 Concours Ste 500, Ontario, California. She can be reached at her office (for appointments etc.) via phone at (909) 605-8000.

NPI number for Kim La Ta is 1023898087 and her current mailing address is 3990 Concours Ste 500, Ontario, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023898087.

Contact Information

Kim La Ta, PHARMD
3990 Concours Ste 500,
Ontario, CA 91764-7983
(909) 605-8000
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKim La Ta
GenderFemale
SpecialityPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Location3990 Concours Ste 500, Ontario, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023898087
  • Provider Enumeration Date: 10/05/2023
  • Last Update Date: 12/09/2023

Medical Identifiers

Medical identifiers for Kim La Ta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023898087NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 55657 (California)Secondary
1835P0018XPharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist 55657 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim La Ta is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim La Ta, PHARMD
3990 Concours Ste 500,
Ontario, CA 91764-7983

Ph: (909) 605-8000
Kim La Ta, PHARMD
3990 Concours Ste 500,
Ontario, CA 91764-7983

Ph: (909) 605-8000

Reviews and Comments


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