WILLIAM C TA M.D. NPI 1790955300

NPI Information

William C Ta, M.D. is a general practice in Hoopa, CA with 18 years of experience. William C Ta, M.D. NPI is 1790955300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

1200 AIRPORT ROAD
KIMAW MEDICAL CENTER,
HOOPA, CA
ZIP 95546-288
Phone: (530) 625-4261
Fax: (530) 625-5171

The NPI 1790955300 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 4/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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