Ha, Kim-Phung Thi
Ha, Kim-Phung Thi is an sole proprietor health care provider with primary practice located at 756 E Holt Ave , Pomona CA 91767-5628. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ha, Kim-Phung Thi can be contacted via phone (909) 622-8622.Contact Information
Primary practice address
756 E Holt Ave
Pomona CA 91767-5628
Phone: (909) 622-8622
Fax: (909) 397-4155
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 36548 | California |
Profile Details
NPI number | 1205986221 |
---|---|
LBN Legal business name | Ha, Kim-Phung Thi |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 11th, 2007 |
Last updated | Nov 3rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205986221 | NPPES |
California | Other | G92046 | MEDI-CAL PROVIDER NUMBER |
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