Philong V Ta
Medical Specialty
Professional ID
- NPI: 1760721658
- PECOS ID: 3375765597
- Enrollment ID: I20141103002315
- Credential(MD, DO, DPM):
- Medical School: University Of Pittsburgh School Of Medicine
- Medical School Graduation Year: 2010
Hospital Service
- Hospital CCN1: 050586
- Business Name (LBN)1: Chino Valley Medical Center
- Hospital CCN2: 050758
- Business Name (LBN)2: Montclair Hospital Medical Center
Medical Practices
- Organization Name: Panmed Anesthesia Services Inc.
- Group Practice ID assigned by PECOS: 4486778388
- Number of Group Practice member: 4
Location
- Address1: 5000 San Bernardino St
- Address2:
- City: Montclair
- State: California
- Zip Code: 91763
- Phone Number: (909)625-5411
Location
- Address1: 5451 Walnut Ave
- Address2:
- City: Chino
- State: California
- Zip Code: 91710
- Phone Number: (909)464-8600
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):