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Richard C Ta
Student in an Organized Health Care Education/Training Program in San Gabriel, California
NPI 1154979995

Richard C Ta is a Student in an Organized Health Care Education/Training Program based in San Gabriel, CA. Richard C Ta practices in San Gabriel, CA. The NPI Number for Richard C Ta is 1154979995 and holds a License No. (California).

The current practice location address for Richard C Ta is 5201 Bartlett Ave, San Gabriel, CA and can be reached out via phone at 626-560-5795.

Location: 5201 Bartlett Ave, San Gabriel, CA, 91776-2127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154979995
Provider Name
Richard C Ta
Credential
Provider Entity Type
Individual
Gender
Male
Address
5201 Bartlett Ave, San Gabriel, CA, 91776-2127
Phone Number
626-560-5795
Fax Number
Provider Enumeration Date
08/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5201 Bartlett Ave
City
San Gabriel
State
California
Zip
91776-2127
Phone Number
626-560-5795
Fax Number
person
Provider Business Mailing Address Details
Address
5201 Bartlett Ave
City
San Gabriel
State
California
Zip
91776-2127
Phone Number
626-560-5795
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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