| Luyen V. Ta, M.d., Inc/tuong-vi Ta, M.d. | |
|
341 9th Street Suite A Oakland CA 94607 | |
| (510) 836-1095 | |
| (510) 836-1096 |
| Full Name | Luyen V. Ta, M.d., Inc/tuong-vi Ta, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 341 9th Street, Oakland, California |
| Authorized Official Name and Position | Tuong-vi Ta (PRESIDENT) |
| Authorized Official Contact | 5108361095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luyen V. Ta, M.d., Inc/tuong-vi Ta, M.d. 341 9th Street Suite A Oakland CA 94607 Ph: (510) 836-1095 | Luyen V. Ta, M.d., Inc/tuong-vi Ta, M.d. 341 9th Street Suite A Oakland CA 94607 Ph: (510) 836-1095 |
| NPI Number | 1720334279 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 08/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720334279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A37356 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A37356 (California) | Primary |
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