Individual provider · Type 1 NPI
Alan C. Ta, MD
Adult Medicine Physician · Patton, CA
NPI number
1801093489
Active
Practice location
3102 E. Highland Avenue, Medical Staff Office
Patton, CA 92369
Fax (909) 425-6635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | A 070112 (CA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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About NPI 1801093489
Alan C. Ta, MD's National Provider Identifier is 1801093489, issued on Jun 28, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Patton, CA. The record was last updated on Mar 24, 2015.