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Organization
LUYEN V. TA, M.D., INC/TUONG-VI TA, M.D.
Active
Organization
LUYEN V. TA, M.D., INC/TUONG-VI TA, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUONG-VI TA M.D., (PRESIDENT)
(510) 836-1095
Entity
Organization
Contact information
Practice address
341 9TH STREET, SUITE A, OAKLAND, CA 94607
(510) 836-1095
(510) 836-1096
Mailing address
341 9TH STREET, SUITE A, OAKLAND, CA 94607
(510) 836-1095
(510) 836-1096
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A37356
CA
208D00000X
General Practice Physician
A37356
CA
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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