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NPI Code Detail

MEDICARE: CARRIE LAN VUONG SIOW MD

MEDICARE: CARRIE LAN VUONG SIOW MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology PhysicianA181265CA

General Provider Information

NPI Number : 1275094013
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE LAN VUONG SIOW MD
Provider Business Mailing Address
First Line : 8899 UNIVERSITY CENTER LN STE 350
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-1010
Country : US
Telephone Number : 858-657-1675
Fax Number : 858-657-1610
Provider Business Practice Location Address
First Line : 8899 UNIVERSITY CENTER LN STE 350
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-1010
Country : US
Telephone Number : 858-657-8322
Fax Number : 858-657-1610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2019
Last Update Date : 04/09/2025

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Directions to “ CARRIE LAN VUONG SIOW MD” Practice Location

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