Individual provider · Type 1 NPI

Jacky B. Ha

Student in an Organized Health Care Education/Training Program · Elk Grove, CA

NPI number 1104761865 Active

Practice location

4604 Tegan Rd
Elk Grove, CA 95758-5147

Call (916) 879-1286 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X390200000X (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104761865

Jacky B. Ha's National Provider Identifier is 1104761865, issued on Apr 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elk Grove, CA. The record was last updated on Apr 21, 2026.