Individual
TUAN V TA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
999 N TUSTIN AVE STE 224, SANTA ANA, CA 92705-6506
(714) 664-0045
(714) 664-0049
Mailing address
2321 E 4TH STREET, SUITE C #637, SANTA ANA, CA 92705-3606
(714) 664-0045
(714) 664-0049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A99653
CA
207RI0200X
Infectious Disease Physician
Primary
A99653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114103124
—
CA
Enumeration date
01/21/2008
Last updated
09/02/2025
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