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LAC MINH TA MD
NPI 1831992130
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 31, 2025
4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103(619) 260-7220 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lac Minh Ta Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAC MINH TA MD (NPI 1831992130) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1831992130
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLAC MINH TACredential: MD
Location Address4077 FIFTH AVE # MER-35San Diego, CA 92103-2105
Mailing Address4077 Fifth Ave # Mer-35San Diego, CA 92103-2105 · (619) 260-7220
Phone(619) 260-7220
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1831992130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4077 FIFTH AVE # MER-35, San Diego, CA 92103
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID REZA MITTELSTEIN MD, PHD
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
DR. SAMANTHA SHWE DANIEL MD, MBA
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
DR. TIFFANY LUU MD
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
ASHLEY SCHNEIDER DPM
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (303) 928-9938
LUKE JOHANNES IRWIN MD
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (805) 405-9192
MICHAEL GUZZARDO DPM
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (512) 969-9312
JUSTIN DEJIA WANG
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (734) 355-2692
SEAN TRONG NGUYEN DPM
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
San Diego County (408) 220-5209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lac Ta's NPI number?

The NPI number for Lac Ta is 1831992130. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Lac Ta located?

Lac Ta practices at 4077 Fifth Ave # Mer-35, San Diego, CA 92103. The listed phone number is (619) 260-7220.

What is Lac Ta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lac Ta was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.