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1710189006
VINH QUOC TA
NEWPORT BEACH, CA
NPI
1710189006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA 16698)
Enumeration Date
2007-05-31
Last Update Date
2015-07-09
Business Address
-- VINH QUOC TA P.A.
3 CORPORATE PLAZA DRIVE SUITE 140
NEWPORT BEACH, CA 92660-7980
Phone number: 949-642-7757
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Mailing Address
-- VINH QUOC TA P.A.
PO BOX 18228
IRVINE, CA 92623-8228
Phone number: 949-955-2101
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