Philong Van Ta
ActiveCalifornia license A129302
License
- Licensed by
- Medical Board of California
- License number
- A129302
- Status
- Active (Current)
- First issued
- March 26, 2014
- Expires
- July 31, 2027
- License holder
- Philong Van Ta
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
19468 Empty Saddle Rd
Walnut, CA 91789-4290
Walnut, CA 91789-4290
Los Angeles County