1437276953 NPI number — VAN HUY VU, MD, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437276953 NPI number — VAN HUY VU, MD, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VAN HUY VU, MD, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437276953
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/08/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16787 BEACH BLVD STE 600
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGTON BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92647-4848
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-775-7700
Provider Business Mailing Address Fax Number:
714-784-7551

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9475 HEIL AVE
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
FOUNTAIN VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92708-2258
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-775-7700
Provider Business Practice Location Address Fax Number:
714-784-7551
Provider Enumeration Date:
03/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
VU
Authorized Official First Name:
VAN
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
714-775-7700

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X , with the licence number:  G71968 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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