NPI 1033621834

Tiffany Anh Thu Ha, PAC

Practitioner Physician Assistant Moreno Valley, CA

Practice location

Address: 26520 Cactus Ave, Moreno Valley, CA 92555-3927
Phone: (951) 486-4767

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 55014 (CA)

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Registry record

NPI: 1033621834
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2017
Record last updated: 6 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.