Most Relevant Information
Provider Data
| NPI Number: | 1003371295 |
| Provider Name: | BRIAN MY HA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 413011 |
Most Important Dates
| Enumeration Date: | 02/01/2019 |
| Last Updated: | 02/01/2019 |
Provider Practice Location
1700 ADAMS AVE
COSTA MESA
CA
926264865
Practice Location Phone/Fax
| Phone: | 7145562288 |
| Fax: |
Provider Mailing Location
521 SHELLEY ST
SANTA ANA
CA
927034221
Provider Mailing Phone/Fax
| Phone: | 7149298733 |
| Fax: |