License Directory

Philong Van Ta

Active

California 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

More from the license record

License type code
8002

Contact

19468 Empty Saddle Rd
Walnut, CA 91789-4290
Los Angeles County