Ta, Han

Ta, Han is an individual health care provider with primary practice located at 4445 Magnolia Ave , Riverside CA 92501-4135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Ta, Han can be contacted via phone (951) 788-3400.

Contact Information

Primary practice address
4445 Magnolia Ave Riverside CA 92501-4135
Fax: (951) 788-3194
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A31331 California

Profile Details

NPI number 1255332185
LBN Legal business name Ta, Han
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Jul 29th, 2008 - about 17 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 1255332185 NPPES
California MEDICAID 00A313310

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