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

Jacky B Ha

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104761865

Jacky B Ha is a Student in an Organized Health Care Education/Training Program in Elk Grove, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

4604 Tegan Rd
Elk Grove, CA 95758-5147
Phone: (916) 879-1286
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 390200000X (CA)

Record details

NPI number1104761865
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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