Kim-Phung Thi Ha, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36548 Issued in CA

Practice address

756 E Holt Ave
Pomona, CA 91767-5628

Phone

(909) 622-8622

Fax

(909) 397-4155

NPI assigned

Jan 11, 2007

Last updated

Nov 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1205986221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675628",
            "telephone_number": "909-622-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675628",
            "telephone_number": "909-622-8622",
            "fax_number": "909-397-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "KIM-PHUNG",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "G92046",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Amber Guzman, B.A.
• Kaitlyn Mia Marie Guzman
• H.S. Gill Family Dentistry
• Ha Nhi Tran DDS, a Prof. Dental Corp. (Universal Dental Group, Inc)
• Katherine Ha, OD
• Sandy Ha, PHARMD
• Van My Ha
• Lori Haas, M.A.
• Mariam Habbak
• Bradley E Habermehl, OD

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.