Individual provider · Type 1 NPI

Richard C. Ta

Student in an Organized Health Care Education/Training Program · San Gabriel, CA

NPI number 1154979995 Active

Practice location

5201 Bartlett Ave
San Gabriel, CA 91776-2127

Call (626) 560-5795 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1154979995

Richard C. Ta's National Provider Identifier is 1154979995, issued on Aug 26, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Gabriel, CA. The record was last updated on Aug 26, 2019.