Ha, Kim-Phung Thi

Ha, Kim-Phung Thi is an sole proprietor health care provider with primary practice located at 756 E Holt Ave , Pomona CA 91767-5628. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ha, Kim-Phung Thi can be contacted via phone (909) 622-8622.

Contact Information

Primary practice address
756 E Holt Ave Pomona CA 91767-5628
Phone: (909) 622-8622
Fax: (909) 397-4155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 36548 California

Profile Details

NPI number 1205986221
LBN Legal business name Ha, Kim-Phung Thi
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Nov 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205986221 NPPES
California Other G92046 MEDI-CAL PROVIDER NUMBER

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