Phuong Nicole Ta, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Aliso Viejo, CA

NPI

1316001373

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

G79560 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2006-12-21

Last updated

2021-12-23