PHUONG ANH THI LA (NPI# 1891865747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891865747 |
| Entity Type | Individual |
| Full Name | PHUONG ANH THI LA |
| Other Name | ANNE LA |
| Credential | P.A.-C |
| Practice Address |
2071 Compton Ave Suite 102 Corona CA 92881-7278 |
| Mailing Address |
8815 E Fallbrook Way Anaheim CA 92808-3601 |
| Practice Telephone | 9515490900 |
| Practice Fax Number | 9512788552 |
| Mailing Telephone | 7142819277 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA15064 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2071 COMPTON AVE SUITE 102 |
| City | CORONA |
| State | CA |
| Zip Code | 92881-7278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093061970 | Helena Songhee Park | Nurse Practitioner | 2071 Compton Ave, #104, Corona, CA 92881-7278 | 2012-07-30 |
| 1619163441 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 2071 Compton Ave, Suite 101, Corona, CA 92881 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043677859 | Erika Crystal Reyes | Physician Assistant | 127 N Mckinley St Ste 101, Corona, CA 92879-6563 | 2016-01-25 |
| 1255710240 | Griselle Villar Ledesma | Physician Assistant | 10427 Corona Ave, Corona, NY 11368-2979 | 2015-05-22 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| 1457660359 | Rudy Manuel Ramirez | Physician Assistant | 13355 Green Mountain Dr, Corona, CA 92883-6229 | 2010-09-27 |
| 1720311012 | Hugh Kling Berkley | Physician Assistant | 760 Washburn Ave Ste 5/6, Corona, CA 92882-3303 | 2009-09-17 |
| 1740420918 | Sean David Totten | Physician Assistant | 1492 Fairmont Dr, Corona, CA 92882 | 2009-03-02 |
| 1477745768 | Rose M Ruiz-flores | Physician Assistant | 1530 W 6th St Ste 109, Corona, CA 92882-2784 | 2007-08-10 |
| 1902097926 | Lansdale John Peters | Physician Assistant | 1231 Kendrick Ct, Corona, CA 92881-8226 | 2007-08-06 |
| 1366525461 | Carina Julie-ann Moscoso | Physician Assistant | 2250 S. Main St., Suite 201, Corona, CA 92882-2536 | 2006-10-23 |
| 1194745661 | Anette J Lecair | Physician Assistant | 770 Magnolia Ave Ste 1h, Corona, CA 92879-3121 | 2006-07-20 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.