Ky Ha in West Covina - Dentist

Ky Ha - NPI 1154434843

Ky Ha is a Dentist in West Covina, California. Ky Ha practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ky Ha is 1154434843. The last update date is 2007-07-08.

Ky Ha's current location address is 2753 E Miranda St, West Covina, California. You can contact this provider via phone number 6269129996 and fax number 6269129996. The mailing address for Ky Ha is 2753 E Miranda St, West Covina, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Ky Ha
Address 2753 E Miranda St, West Covina, California
Phone Number 6269129996
Fax Number 6269129996
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1154434843
Provider Enumeration Date 2006-08-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2753 E Miranda St
City West Covina
State California (CA)
Post Code 917922222
Phone Number 6269129996
Fax Number 6269129996

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 49106
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G93635-01 CA DENTI-CAL

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FAQs about Ky Ha

What is the unique identification code assigned to Ky Ha by the Centers for Medicare & Medicaid Services?

The Ky Ha has been issued the NPI (National Provider Identifier) 1154434843. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ky Ha is physically located?

The Ky Ha is situated at the following address: 2753 E Miranda St, West Covina, CA 917922222.

What is Ky Ha's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ky Ha's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Ky Ha receive its 1154434843 assignment from the Centers for Medicare & Medicaid Services?

The Ky Ha was assigned its 1154434843 by the Centers for Medicare & Medicaid Services on 2006-08-16.

As of what date were the Ky Ha's details last updated?

The information pertaining to the Ky Ha, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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