Individual
THAI QUOC HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23451 MADISON ST STE 290, TORRANCE, CA 90505-4737
(310) 375-1246
(310) 375-0590
Mailing address
23451 MADISON ST STE 290, TORRANCE, CA 90505-4737
(310) 375-1246
(310) 375-0590
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A69800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10952989
CAQH
—
01
—
I4522418
AETNA
—
Enumeration date
10/21/2005
Last updated
09/26/2024
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