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NPI Code Detail

MEDICARE: DR. SONY ALAN TA MD

MEDICARE: DR. SONY ALAN TA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA90931CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740200914
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONY ALAN TA MD
Provider Business Mailing Address
First Line : 242 E 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90014-2117
Country : US
Telephone Number : 213-833-5300
Fax Number :
Provider Business Practice Location Address
First Line : 5850 S MAIN ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90003-1215
Country : US
Telephone Number : 323-846-4104
Fax Number : 323-234-6518
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 08/23/2016

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