Ta, Dong Quang

Ta, Dong Quang is an sole proprietor health care provider with primary practice located at 2248 S Garey Ave , Pomona CA 91766-5616. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ta, Dong Quang can be contacted via phone (909) 464-0992.

Contact Information

Primary practice address
2248 S Garey Ave Pomona CA 91766-5616
Fax: (909) 464-0913
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC26659 California

Profile Details

NPI number 1508909516
LBN Legal business name Ta, Dong Quang
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated May 20th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508909516 NPPES
California MEDICAID DC0266591

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