Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Viet Ta

Individual provider Pharmacist · NPI 1508392804

Mr. Viet Ta is a Pharmacist in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

175 E 17th St
Costa Mesa, CA 92627-3708
Phone: (949) 631-9223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 50814 (CA)

Record details

NPI number1508392804
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 5, 2017
Last updated in NPPESMay 5, 2017

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